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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2020
- 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
- Sharon Aden, MSW
- Title
- Director
- Phone
- (708) 301-6247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.