Active NPI
Mary Carlton LCSW, PLLC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1871201400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MARY CARLTON LCSW, PLLC
- Practice address
- 5331 W Windsor Ave Apt 2
Chicago, IL 60630-3876 - Phone
- (312) 771-6648
- NPI assigned
- Nov 14, 2022
- 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
- Mary E Carlton, LCSW
- Title
- Director
- Phone
- (312) 771-6648
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5331 W Windsor Ave Apt 2
Chicago, IL 60630-3876
Mailing address
2501 Chatham Rd Ste N
Springfield, IL 62704-4188
Phone (312) 771-6648
National Provider Directory
National Provider DirectoryPractitioners & 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": "1668384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1871201400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CHATHAM RD STE N",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044188",
"telephone_number": "312-771-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 W WINDSOR AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606303876",
"telephone_number": "312-771-6648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY CARLTON LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-12",
"status": "A",
"authorized_official_last_name": "CARLTON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "312-771-6648",
"authorized_official_credential": "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 Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.