NPIMap

Organization Active NPI

Bracken Therapies PLLC

  • Clinical Social Worker
  • Deerfield, IL
National Provider Identifier
1982380077
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRACKEN THERAPIES PLLC
Practice address
480 Susan LN
Deerfield, IL 60015-3949
Phone
(847) 769-6926
NPI assigned
Jun 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Moriah Bracken, LCSWNPI 1275209397
Title
Owner
Phone
(847) 769-6926

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 Primary

Addresses

Primary practice location

480 Susan LN
Deerfield, IL 60015-3949

Mailing address

480 Susan LN
Deerfield, IL 60015-3949
Phone (847) 769-6926

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1982380077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 SUSAN LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153949",
            "telephone_number": "847-769-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 SUSAN LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153949",
            "telephone_number": "847-769-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKEN THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "MORIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-769-6926",
        "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": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.