Family Counseling and Learning Center LTD.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003661 Issued in IL

Legal business name

FAMILY COUNSELING AND LEARNING CENTER LTD.

Practice address

445 W Jackson Ave
Suite 105
Naperville, IL 60540-5256

Phone

(630) 355-7250

Fax

(630) 548-1755

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dan Lippmann, LCSW

Title

Principal

Phone

(630) 355-7250

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1841326360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S WASHINGTON ST",
            "address_2": "SUITE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652446",
            "telephone_number": "630-355-7250",
            "fax_number": "630-548-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W JACKSON AVE",
            "address_2": "SUITE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405256",
            "telephone_number": "630-355-7250",
            "fax_number": "630-548-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING AND LEARNING CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "LIPPMANN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "630-355-7250",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003661",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.