Poindexter Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POINDEXTER THERAPY SERVICES LLC

Practice address

24047 W Lockport St Ste 201E
Plainfield, IL 60544-1680

Phone

(815) 302-0972

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Carla Poindexter, LCSWNPI 1013301480

Title

Owner

Phone

(815) 302-0972

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Carla Poindexter

  • Clinical Social Worker
  • Aurora, IL
  • NPI 1013301480
  Medicare reassignment NPD Authorized official
• Hildred I Amegashie, APRN,FNP-BC,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
  • NPI 1942855234
  NPD (past)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1982356465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24047 W LOCKPORT ST STE 201E",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24047 W LOCKPORT ST STE 201E",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441680",
            "telephone_number": "815-302-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINDEXTER THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-302-0972",
        "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": []
}

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• Kaitlyn Lea Platt
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• Lara Polavieja, LCSW
• Leighanne Silverio Poon, PHARMD
• Gilbert Francis Porsovigan, OTR / L
• Allison Taylor Portz

• Clinical Social Worker in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.