MSC Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MSC THERAPY, LLC

Practice address

5140 S Hyde Park Blvd Apt 15E
Chicago, IL 60615-4265

Phone

(773) 387-3577

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Marilu Santa-Cruz, LCSW

Title

President

Phone

(733) 873-5777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1972157667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 S HYDE PARK BLVD APT 15E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 S HYDE PARK BLVD APT 15E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154265",
            "telephone_number": "773-387-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "SANTA-CRUZ",
        "authorized_official_first_name": "MARILU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "733-873-5777",
        "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": []
}

• Judith A. Mrvan, NP
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• Michael Msall
• Daniel Mourice Mseih, DC
• Mshealth
• MSM-Net, Inc.
• Mso Great Lakes, Inc.
• Mstar Services Inc

• All providers in Chicago, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.