Active NPI
Thomas E. Holmes LCSW
- Clinical Social Worker
- Park Ridge, IL
National Provider Identifier
1821175191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THOMAS E. HOLMES LCSW
- Practice address
- 2604 Dempster St
Suite 306
Park Ridge, IL 60068-8412 - Phone
- (847) 390-9450
- NPI assigned
- Nov 1, 2006
- 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
- Mr. Thomas E Holmes, LCSW
- Title
- President
- Phone
- (847) 390-9450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
2604 Dempster St
Suite 306
Park Ridge, IL 60068-8412
Mailing address
2604 Dempster St
Suite 306
Park Ridge, IL 60068-8412
Phone (847) 390-9450
National Provider Directory
National Provider DirectoryLocations
2604 Dempster St
Ste 306
Park Ridge, IL 60068
Phone (847) 699-1449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821175191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 DEMPSTER ST",
"address_2": "SUITE 306",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600688412",
"telephone_number": "847-390-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 DEMPSTER ST",
"address_2": "SUITE 306",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600688412",
"telephone_number": "847-390-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS E. HOLMES LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-390-9450",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.