Active NPI
Greenwood Psychotherapy LLC
- Clinical Social Worker
- Highland Park, IL
National Provider Identifier
1740928951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GREENWOOD PSYCHOTHERAPY LLC
- Practice address
- 2057-A Greenbay Road
Highland Park, IL 60035 - Phone
- (847) 826-4591
- NPI assigned
- May 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marion Greenwood, LCSW
- Title
- Owner
- Phone
- (847) 826-4591
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2057-A Greenbay Road
Highland Park, IL 60035
Mailing address
2057-A Greenbay Road
Highland Park, IL 60035
Phone (847) 826-4591
Other practice location 1
946 Lilac Ln
Highland Park, IL 60035-3720
Phone (847) 826-4591
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Highland Park, IL
- NPI 1215242292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1740928951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2057-A GREENBAY ROAD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-826-4591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2057-A GREENBAY ROAD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-826-4591"
}
],
"practiceLocations": [
{
"address_1": "946 Lilac Ln",
"address_purpose": "LOCATION",
"city": "Highland Park",
"state": "IL",
"postal_code": "600353720",
"country_code": "US",
"telephone_number": "847-826-4591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GREENWOOD PSYCHOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-26",
"last_updated": "2023-01-13",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "GREENWOOD",
"authorized_official_first_name": "MARION",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-826-4591",
"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 Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.