Marjorie Colindres

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018025 Issued in IL

Practice address

550 E Boughton Rd Ste 265
Bolingbrook, IL 60440-2396

Phone

(331) 318-8181

Fax

(630) 863-7293

NPI assigned

Feb 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abundant Pearl Counseling & Healing

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1730060161
  NPD

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1831698547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9S070 LAKE DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272560",
            "telephone_number": "630-689-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD STE 265",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402396",
            "telephone_number": "331-318-8181",
            "fax_number": "630-863-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLINDRES",
        "first_name": "MARJORIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ollie H Clements, DT
• Aikishia Cochran, LPC
• Coded Healthcare & Behavioral Services LLC
• Colbar Healthcare Solutions PLLC
• Cole Vision Corporation
• Community Service Council of Northern Will County
• Compassionate Counseling Inc
• Complete Care Behavioral Health PLLC
• Complete Child Health
• Complete Health Services Inc

• Clinical Social Worker in Bolingbrook, IL
• Providers in Bolingbrook, 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 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.