Organization Active NPI

Families Together Therapy Services

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1730727819
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FAMILIES TOGETHER THERAPY SERVICES
Practice address
410 S Michigan Ave Ste 818
Chicago, IL 60605-1302
Phone
(708) 277-9660
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Shaoxuan Wang, LCSWNPI 1508305376
Title
Therapist
Phone
(708) 277-9660

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

410 S Michigan Ave Ste 818
Chicago, IL 60605-1302

Mailing address

2618 W Fullerton Ave Apt 3a
Chicago, IL 60647-4086
Phone (708) 277-9660

Other practice location 1

2618 W Fullerton Ave Apt 3A
Chicago, IL 60647-4086
Phone (708) 277-9660

Other names 1

  • Former Legal Business Name Other name

National Provider Directory

National Provider Directory

Locations

410 S Michigan Ave
Ste 818
Chicago, IL 60605
Phone (708) 277-9660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1730727819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 W FULLERTON AVE APT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474086",
            "telephone_number": "708-277-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MICHIGAN AVE STE 818",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051302",
            "telephone_number": "708-277-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2618 W Fullerton Ave Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606474086",
            "country_code": "US",
            "telephone_number": "708-277-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILIES TOGETHER THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SHAOXUAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-277-9660",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Former Legal Business Name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 9, 2020; 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.