Collaborators, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008505 Issued in IL

Legal business name

COLLABORATORS, INC.

Practice address

466 Central Ave
Suite 27
Northfield, IL 60093-3041

Phone

(847) 446-7924

Fax

(847) 446-7924

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sasha P Von Kibedi Varga, LCSW

Title

Owner

Phone

(847) 446-7924

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Susan C Flynn, LCPC

  • Professional Counselor
  • Northfield, IL
  • NPI 1093390577
  NPD (past)
• Sasha P Von Varga, L.C.S.W.

  • Clinical Social Worker
  • Northfield, IL
  • NPI 1881605004
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1942680442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE",
            "address_2": "SUITE 27",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933041",
            "telephone_number": "847-446-7924",
            "fax_number": "847-446-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE",
            "address_2": "SUITE 27",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933041",
            "telephone_number": "847-446-7924",
            "fax_number": "847-446-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "VON KIBEDI VARGA",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-446-7924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Anthony Clancey
• Karen Cloyd, LCPC
• Emily Clysdale
• Alexandra Coello
• Suzanne Coleman, PT
• Donna Sue Costa
• Jack Gerard Cox, MSW
• Lisa Crenshaw, B.S.W.
• Crescent Psychology, PLLC
• Maureen Flannery Crowe, LSW

• Clinical Social Worker in Northfield, IL
• Providers in Northfield, 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 Jun 1, 2015; 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.