SG Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SG WELLNESS LLC

Practice address

1603 Orrington Ave Ste 600
Evanston, IL 60201-3860

Phone

(847) 861-7899

NPI assigned

Jul 13, 2018

Last updated

Aug 10, 2022By 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

Therese GivenNPI 1821376187

Title

LCSW

Phone

(847) 861-7899

Specialties & licenses 1

Addresses

Locations

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.

• Therese Given, MSW, LCSW

  • Social Worker
  • Evanston, IL
  • NPI 1821376187
  Authorized official Same address or phone

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1952887812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE STE 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013860",
            "telephone_number": "847-861-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE STE 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013860",
            "telephone_number": "847-861-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "GIVEN",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "847-861-7899"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Serpa, LCSW
• Caitlin Sershon, MD
• Francesco Sessa, CRNA
• Deepika Shanti Sethi, OTR/L
• Carrie Seyb, CRNA
• Patricia B Shafer, PH.D.
• Alana Marie Shaffner, MT-BC
• Ami R. Shah, DO
• Ayush N Shah, DO
• Jheel Asit Shah, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.