Organization Active NPI

Release Therapy, PLLC

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1699451377
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RELEASE THERAPY, PLLC
Practice address
900 Skokie Blvd Ste 250
Northbrook, IL 60062-4014
Phone
(312) 600-7832
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marissa Bohrer, LCSWNPI 1326656422
Title
Owner
Phone
(847) 757-5970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

900 Skokie Blvd Ste 250
Northbrook, IL 60062-4014

Mailing address

900 Skokie Blvd Ste 250
Northbrook, IL 60062-4014
Phone (312) 600-7832

National Provider Directory

National Provider Directory

Locations

900 Skokie Blvd
Ste 250
Northbrook, IL 60062
Phone (312) 600-7832

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1699451377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 250",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624014",
            "telephone_number": "312-600-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 250",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624014",
            "telephone_number": "312-600-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELEASE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "BOHRER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-757-5970",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.