Active NPI
Patricia B Flaherty, LCSW, CADC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1972062958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.019972
- Practice address
- 210 S Desplaines St Apt 1407
Chicago, IL 60661-5570 - Phone
- (312) 493-3122
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29625 | IL | |
| Clinical Social Worker | 1041C0700X | 149.019972 | IL | Primary |
Addresses
Primary practice location
210 S Desplaines St Apt 1407
Chicago, IL 60661-5570
Mailing address
210 S Desplaines St Apt 1407
Chicago, IL 60661-5570
Phone (312) 493-3122
Other names 1
- Trish Flaherty
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | trishflaherty@lcsw@gmail.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 28, 2023 through Dec 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29625 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 149.019972 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1972062958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S DESPLAINES ST APT 1407",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606615570",
"telephone_number": "312-493-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S DESPLAINES ST APT 1407",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606615570",
"telephone_number": "312-493-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "PATRICIA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "29625",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019972",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "trishflaherty@lcsw@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "210 S Desplaines St Apt 1407",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606615570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TRISH",
"last_name": "FLAHERTY",
"credential": "LCSW, CADC",
"code": "5",
"type": "Other Name"
}
]
}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 Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.