NPIMap

Organization Active NPI

Light and Sound Health

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1942567029
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000231 Issued in IL
Legal business name
LIGHT AND SOUND HEALTH
Practice address
2535 Techny Rd
Northbrook, IL 60062-5961
Phone
(847) 291-7020
Fax
(847) 291-7055
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Ms. Alice C Nixon, MSW,LCSWNPI 1609989383
Title
President
Phone
(847) 291-7020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149000231 IL Primary

Addresses

Primary practice location

2535 Techny Rd
Northbrook, IL 60062-5961

Mailing address

2535 Techny Rd
Northbrook, IL 60062-5961
Phone (847) 291-7020

National Provider Directory

National Provider Directory

Practitioners & 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": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1942567029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625961",
            "telephone_number": "847-291-7020",
            "fax_number": "847-291-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625961",
            "telephone_number": "847-291-7020",
            "fax_number": "847-291-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT AND SOUND HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-291-7020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.