Fernanda Maytorena-Unger

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FERNANDA MAYTORENA-UNGER

Doing business as

Resilience

Practice address

6925 Cermak Rd
Berwyn, IL 60402-2248

Phone

(708) 567-7342

Fax

(949) 437-2647

NPI assigned

Feb 7, 2021

Organization subpart

No

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

Authorized official

Name

Maylin Alunan

Title

Administrator

Phone

(630) 280-0607

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Resilience Doing business as

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernanda Maytorena-Unger, LCSW

  • Clinical Social Worker
  • Berwyn, IL
  • NPI 1518556778
  NPD

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1922690312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 RIDGELAND AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023848",
            "telephone_number": "708-567-7342",
            "fax_number": "949-437-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022248",
            "telephone_number": "708-567-7342",
            "fax_number": "949-437-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDA MAYTORENA-UNGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "ALUNAN",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-280-0607"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "149022511",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518556778",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malunan@mbcservicesusa.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6925 Cermak Rd",
            "city": "Berwyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604022248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malunan@mbcservicesusa.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "malunan@mbcservicesusa.com",
            "address_1": "3547 Ridgeland Ave",
            "city": "Berwyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604023848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Resilience",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resilience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.