Organization Active NPI

Hawthorne Tree Psychotherapy, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1730666280
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAWTHORNE TREE PSYCHOTHERAPY, LLC
Practice address
5756 N Ridge Ave Ste 15
Chicago, IL 60660-5333
Phone
(773) 688-4499
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Arryn Hawthorne, LCSW
Title
Owner
Phone
(773) 688-4499

Specialties & licenses 1

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

Addresses

Primary practice location

5756 N Ridge Ave Ste 15
Chicago, IL 60660-5333

Mailing address

5756 N Ridge Ave Ste 15
Chicago, IL 60660-5333
Phone (773) 688-4499

National Provider Directory

National Provider Directory

Locations

5756 N Ridge Ave
Ste 15
Chicago, IL 60660
Phone (773) 688-4499

5756 N Ridge Ave
Ste 14
Chicago, IL 60660
Phone (312) 909-9113

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": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1730666280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605333",
            "telephone_number": "773-688-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605333",
            "telephone_number": "773-688-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE TREE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "ARRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-688-4499",
        "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.