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NORTH SHORE FAMILY SERVICES NPI 1497194070


NPI Information

NPI: 1497194070
Provider Name: NORTH SHORE FAMILY SERVICES
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 14D2032755

Address:
900 SKOKIE BOULEVARD
SUITE 218
NORTHBROOK, IL
ZIP 60062
Phone: (847) 668-4295
Get Directions

NORTH SHORE FAMILY SERVICES is a clinical social worker in Northbrook, IL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NORTH SHORE FAMILY SERVICES NPI is 1497194070. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 SKOKIE BOULEVARD
SUITE 218
NORTHBROOK, IL
ZIP 60062
Phone: (847) 668-4295
Fax: (847) 668-4295

The provider's authorized official is Suzanne Wahl .
The authorized official title is Practice Manager and has the following contact phone number (847) 668-4295.

The CLIA number assigned to this NPI record is 14D2032755 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2013 and was last updated on 12/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical149009042ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861799355OTHERILLINOISINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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