Organization Active NPI

Nautical Mile Therapy, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1952128126
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NAUTICAL MILE THERAPY, PLLC
Practice address
5547 N Ravenswood Ave # 409
Chicago, IL 60640-1125
Phone
(563) 581-2333
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Andrew Hodge, LCSWNPI 1497331565
Title
Owner, Clinical Social Worker
Phone
(563) 581-2333

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 Primary

Addresses

Primary practice location

5547 N Ravenswood Ave # 409
Chicago, IL 60640-1125

Mailing address

5547 N Ravenswood Ave # 409
Chicago, IL 60640-1125
Phone (563) 581-2333

Other practice location 1

1644 W Greenleaf Ave Apt 2S
Chicago, IL 60626-2746
Phone (563) 581-2333

National Provider Directory

National Provider Directory

Locations

5547 N Ravenswood Ave
#409
Chicago, IL 60640
Phone (563) 581-2333

Practitioners & affiliated clinicians

Practitioners 1

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": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1952128126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 N RAVENSWOOD AVE # 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401125",
            "telephone_number": "563-581-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 N RAVENSWOOD AVE # 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401125",
            "telephone_number": "563-581-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 W Greenleaf Ave Apt 2S",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606262746",
            "country_code": "US",
            "telephone_number": "563-581-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAUTICAL MILE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER, CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "563-581-2333",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.