Undine and Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013059 Issued in IL

Legal business name

UNDINE AND ASSOCIATES

Practice address

410 S. Michigan Ave
Ste 943
Chicago, IL 60605

Phone

(773) 732-7700

Fax

(773) 304-3517

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Robert Undine, LCSW

Title

Owner

Phone

(773) 732-7700

Specialties & licenses 1

Addresses

Tax ID family

Undine and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Undine and Associates

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1528509981
  NPD tax ID

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1790226207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S. MICHIGAN AVE",
            "address_2": "STE 943",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S. MICHIGAN AVE",
            "address_2": "STE 943",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605",
            "telephone_number": "773-732-7700",
            "fax_number": "773-304-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDINE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "UNDINE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-732-7700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Underwood
• Nichola Underwood
• Sandra D Underwood
• Summer Valentine Underwood, LPC, MS
• Undine and Associates
• Thomas Robert Undine, LCSW
• Unfettered Psychotherapy & Consulting LLC
• Unfragmented Wellness LLC
• Unfurl Acupuncture, LLC
• Chana Ungar

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.