NPIMap

Organization Active NPI

Choices, Inc

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1972528107
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003533 Issued in IL
Legal business name
CHOICES, INC
Practice address
500 Roosevelt Rd Ste 205
Glen Ellyn, IL 60137-2600
Phone
(630) 858-1353
Fax
(630) 545-2529
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Susan Thorne-Devin, LCSWNPI 1417976838
Title
Executive Director
Phone
(630) 858-1353

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 149003533 IL Primary

Addresses

Primary practice location

500 Roosevelt Rd Ste 205
Glen Ellyn, IL 60137-2600

Mailing address

500 Roosevelt Rd Ste 205
Glen Ellyn, IL 60137-2600
Phone (630) 858-1353

National Provider Directory

National Provider Directory

Locations

500 Roosevelt Rd
Ste 205
Glen Ellyn, IL 60137
Phone (630) 624-2868

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1972528107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROOSEVELT RD STE 205",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601372600",
            "telephone_number": "630-858-1353",
            "fax_number": "630-545-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROOSEVELT RD STE 205",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601372600",
            "telephone_number": "630-858-1353",
            "fax_number": "630-545-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "THORNE-DEVIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-858-1353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.