Organization Active NPI

Sedulous Counseling & Consulting Services PLLC

  • Clinical Social Worker
  • Orland Park, IL
National Provider Identifier
1801497623
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEDULOUS COUNSELING & CONSULTING SERVICES PLLC
Practice address
15255 S 94TH Ave # 508
Orland Park, IL 60462-3800
Phone
(708) 770-0814
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Authorized official

Name
Dr. Tiffany M Nelson, DSW, LCSWNPI 1659985091
Title
Clinical Social Work/Therapist
Phone
(708) 770-0814

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15255 S 94TH Ave # 508
Orland Park, IL 60462-3800

Mailing address

15255 S 94TH Ave # 508
Orland Park, IL 60462-3800
Phone (708) 770-0814

National Provider Directory

National Provider Directory

Locations

15255 S 94th Ave
#508
Orland Park, IL 60462
Phone (708) 770-0814

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609459200000",
    "number": "1801497623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE # 508",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623800",
            "telephone_number": "708-770-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE # 508",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623800",
            "telephone_number": "708-770-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDULOUS COUNSELING & CONSULTING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORK/THERAPIST",
        "authorized_official_telephone_number": "708-770-0814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, 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 Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.