Solidarity Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOLIDARITY THERAPY SERVICES LLC

Practice address

733 Dobson St Apt 2S
Evanston, IL 60202-3977

Phone

(773) 827-6445

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Kelli Blanchard, LCSWNPI 1972710291

Title

Owner/Behavioral Health Therapist

Phone

(773) 827-6445

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Blanchard, MSW

  • Social Worker
  • Grand Rapids, MI
  • NPI 1972710291
  NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1801420971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 DOBSON ST APT 2S",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023977",
            "telephone_number": "773-827-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 DOBSON ST APT 2S",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023977",
            "telephone_number": "773-827-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDARITY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER/BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "773-827-6445",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972710291",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Evanston",
            "affiliation": "N",
            "address_1": "733 Dobson St Apt 2S",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602023977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Niyi Adewale Soetan, MD
• Sokana Collective
• Sokana Collective Worldwide
• Sara E P Solheim, LCSW
• Ramon Solhkhah, MD
• Alondra Solis Rios
• Renee Solis
• Susan M Solovy, PSY.D.
• Sahana Somasegar, MD
• Christine Son, MD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Feb 27, 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.