Expansive Health and Recovery Services Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EXPANSIVE HEALTH AND RECOVERY SERVICES INC.

Practice address

10336 S Western Ave
Chicago, IL 60643-2407

Phone

(872) 985-7210

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Priscilla Evans, LCSWNPI 1245828987

Title

Ceo

Phone

(872) 985-7210

Specialties & licenses 1

Addresses

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.

• Priscilla Evans, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1245828987
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1730858440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 W 97TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052611",
            "telephone_number": "872-985-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10336 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432407",
            "telephone_number": "872-985-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPANSIVE HEALTH AND RECOVERY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "872-985-7210",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

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• Clinical Social Worker in Chicago, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.