NPIMap

Organization Active NPI

More Abundant Living Institute, P.C.

  • Clinical Social Worker
  • Lynwood, IL
National Provider Identifier
1902038417
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MORE ABUNDANT LIVING INSTITUTE, P.C.
Practice address
19516 Northwinds Dr
Lynwood, IL 60411-8660
Phone
(708) 799-5862
Fax
(708) 799-0138
NPI assigned
Aug 17, 2009
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Ms. Rosetta Webb, LSW
Title
President
Phone
(708) 799-5862

Specialties & licenses 1

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

Addresses

Primary practice location

19516 Northwinds Dr
Lynwood, IL 60411-8660

Mailing address

19516 Northwinds Dr
Lynwood, IL 60411-8660
Phone (708) 799-5862

National Provider Directory

National Provider Directory

Locations

849 Maple Ave
Homewood, IL 60430
Phone (708) 414-0095

849 Maple Ave
Ste 905
Homewood, IL 60430
Phone (708) 799-5862

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1902038417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19516 NORTHWINDS DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118660",
            "telephone_number": "708-799-5862",
            "fax_number": "708-799-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19516 NORTHWINDS DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118660",
            "telephone_number": "708-799-5862",
            "fax_number": "708-799-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE ABUNDANT LIVING INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ROSETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-799-5862",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.