Organization Active NPI

Cross of Glory Lutheran Church

Doing business as Welcome Place Christian Care and Counseling Center

  • Clinical Social Worker
  • Homer Glen, IL
National Provider Identifier
1891832507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CROSS OF GLORY LUTHERAN CHURCH
Doing business as
Welcome Place Christian Care and Counseling Center
Practice address
14719 W 163Rd St
Homer Glen, IL 60491-8018
Phone
(708) 301-6247
Fax
(708) 301-7126
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharon Aden, MSW
Title
Director
Phone
(708) 301-6247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

14719 W 163Rd St
Homer Glen, IL 60491-8018

Mailing address

14719 W 163Rd St
Homer Glen, IL 60491-8018
Phone (708) 301-6247

Other names 1

  • Welcome Place Christian Care and Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

14719 W 163rd St
Homer Glen, IL 60491
Phone (708) 301-6247

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891832507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14719 W 163RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918018",
            "telephone_number": "708-301-6247",
            "fax_number": "708-301-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14719 W 163RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918018",
            "telephone_number": "708-301-6247",
            "fax_number": "708-301-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS OF GLORY LUTHERAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-301-6247",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcome Place Christian Care and Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer Glen, 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.

Verify at the official NPI Registry.