Active NPI
The Therapy Social PLLC
- Clinical Social Worker
- Manhattan, IL
National Provider Identifier
1972335925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE THERAPY SOCIAL PLLC
- Practice address
- 365 W North St
Manhattan, IL 60442-9764 - Phone
- (708) 205-0150
- NPI assigned
- Aug 19, 2024
- Last updated
- Aug 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeana Jordan, LCSW
- Title
- Social Worker
- Phone
- (708) 205-0150
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
365 W North St
Manhattan, IL 60442-9764
Mailing address
365 W North St
Manhattan, IL 60442-9764
Phone (708) 205-0150
National Provider Directory
National Provider DirectoryPractitioners & 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": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1972335925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 W NORTH ST",
"city": "MANHATTAN",
"state": "IL",
"postal_code": "604429764",
"telephone_number": "708-205-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 W NORTH ST",
"city": "MANHATTAN",
"state": "IL",
"postal_code": "604429764",
"telephone_number": "708-205-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THERAPY SOCIAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-18",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "JEANA",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "708-205-0150",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.