Organization Active NPI

Pivot Collaborative LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1710476403
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016655 Issued in IL
Legal business name
PIVOT COLLABORATIVE LLC
Practice address
1525 E 53Rd St Ste 516-4
Chicago, IL 60615-4572
Phone
(312) 515-2221
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Ms. Linda S Bartoli, LCSWNPI 1518356849
Title
Owner
Phone
(312) 515-2221

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149016655 IL Primary

Addresses

Primary practice location

1525 E 53Rd St Ste 516-4
Chicago, IL 60615-4572

Mailing address

5614 N Richmond St
Chicago, IL 60659-4825
Phone (312) 515-2221

Other practice location 1

1945 W Wilson Ave Ste 5115
Chicago, IL 60640-5258
Phone (312) 515-2221

National Provider Directory

National Provider Directory

Locations

2043 W Wabansia Ave
Chicago, IL 60647
Phone (224) 419-5839

1525 E 53rd St
Ste 516-4
Chicago, IL 60615
Phone (224) 444-9056

Practitioners & affiliated clinicians

Practitioners 3

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": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1710476403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 N RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594825",
            "telephone_number": "312-515-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 516-4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154572",
            "telephone_number": "312-515-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 W Wilson Ave Ste 5115",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405258",
            "country_code": "US",
            "telephone_number": "312-515-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOT COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "BARTOLI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-515-2221",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.