CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO


Address: 1800 N Hermitage Ave, Chicago, IL 60622-1161
Phone: 3126557071

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO (NPI# 1003217506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003217506
Entity Type Organization
Organization Name CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Other Organization Name MATERNITY AND ADOPTION SERVICES
Practice Address 1800 N Hermitage Ave
Chicago
IL 60622-1161
Practice Telephone 3126557071
Practice Fax Number 3123821612
Mailing Telephone 3126557071
Mailing Fax Number 3123821612
Enumeration Date 2014-09-16
Last Update Date 2015-06-03
Authorized Official Name MICHAEL M BOLAND (ADMINISTRATOR, PRESIDENT, AND CEO)
Authorized Official Telephone 3126557920
Authorized Official Credential MSW
Is Organization Subpart Y
Parent Organization Name CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Maternity and Adoption Services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922643055 Catholic Charities of The Archdiocese of Chicago Clinic/Center 3019 W Harrison St, Chicago, IL 60612-3342 2019-11-13
1033666490 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 671 S. Lewis Ave., Waukegan, IL 60085 2016-09-02
1881081263 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 1400 S Austin Blvd, Cicero, IL 60804-1003 2015-04-23
1295154813 Catholic Charities of The Archdiocese of Chicago Counselor 671 S Lewis Ave, Waukegan, IL 60085-6101 2014-04-10
1215282926 Catholic Charities of The Archdiocese of Chicago Case Management 721 N Lasalle St, 5th Floor, Chicago, IL 60610 2012-07-18
1245564640 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 641 W Lake St, Chicago, IL 60661-1007 2009-10-01
1881928398 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 11255 S Michigan Ave, Chicago, IL 60628-4909 2009-09-30
1295854446 Catholic Charities of The Archdiocese of Chicago Clinic/Center 721 N La Salle Dr, Chicago, IL 60654-3751 2007-03-28
1407971211 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 1100 S May St, Fl 2, Chicago, IL 60607-4229 2007-03-20
1629130083 Catholic Charities of The Archdiocese of Chicago Case Management 116 Lincoln Ave, Round Lake, IL 60073-5009 2006-12-14

Office Location

Street Address 1800 N HERMITAGE AVE
City CHICAGO
State IL
Zip Code 60622-1161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215595137 Jennifer L Vera Social Worker 1800 N Hermitage Ave, Chicago, IL 60622-1161 2019-06-05
1013483205 Mayra Patino Case Manager/Care Coordinator 1800 N Hermitage Ave, Chicago, IL 60622-1161 2018-10-16
1316420375 Linda Jackeline Sabo Counselor 1800 N Hermitage Ave, Chicago, IL 60622-1161 2018-09-14
1902386196 Kathryn Rose Richie Social Worker 1800 N Hermitage Ave, Chicago, IL 60622-1161 2018-08-16
1184143935 Anthony Sorgi Counselor 1800 N Hermitage Ave, Chicago, IL 60622-1161 2017-09-13
1689026585 Daiva Piscikaite Social Worker 1800 N Hermitage Ave, Chicago, IL 60622-1161 2016-07-05
1972955862 Lisa Francis Social Worker 1800 N Hermitage Ave, Chicago, IL 60622-1161 2016-07-05
1053762575 Debbie Rodriguez Counselor 1800 N Hermitage Ave, Chicago, IL 60622-1161 2016-06-27
1326496381 Katarzyna Majerczak Social Worker 1800 N Hermitage Ave, Chicago, IL 60622-1161 2016-06-01
1386092419 Megan Orlandino Social Worker 1800 N Hermitage Ave, Chicago, IL 60622 2016-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447880471 Erikson Institute Clinic/Center 2739 W Division St, Chicago, IL 60622 2020-01-17
1720620545 Emily Claire Bonanno Counselor 1397 N Miwaukee Ave, Chicago, IL 60622 2019-10-14
1891342093 Taylor Mallon Speech-Language Pathologist 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 2019-08-22
1083260277 Maggie Inman Student in an Organized Health Care Education/Training Program 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 2019-08-13
1174176168 Karol Maricel Quelal Analuisa Internal Medicine 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 2019-07-19
1073076105 Nichole Galullo Social Worker 1431 N Claremont 2nd Floor, Chicago, IL 60622 2019-04-06
1003375122 Alfredo Delgado Perez Sr. Psychologist 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 2019-03-18
1841773439 Abigail Hector Counselor 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 2018-09-11
1164916144 Dorothy Mitkowski Student in an Organized Health Care Education/Training Program 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 2018-06-21
1255825121 Kara Lynn Daniel Speech-Language Pathologist 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 2018-06-14
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295336022 Web Healing Collective Pllc Social Worker 6207 N Springfield Ave, Chicago, IL 60659-1015 2020-11-06
1881295186 Belva Marie Dibert Social Worker 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 2020-11-03
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1164022422 Brittany Lauren Gatchell Social Worker 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 2020-10-27
1467052803 Seri Elaine Porter Social Worker 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 2020-10-26
1255930707 Emily Ehrens Social Worker 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 2020-10-25
1316546955 Yesenia Maldonado Social Worker 3922 N Sayre Ave, Chicago, IL 60634-2329 2020-10-24
1144829201 Andrea Hohf, Mscd, Lcsw Social Worker 564 W Randolph St Ste 248, Chicago, IL 60661-2218 2020-10-20
1215536693 Miracleworks Therapy & Consulting LLC Social Worker 2138 S Indiana Ave, Chicago, IL 60616-4930 2020-10-18
1104425552 Fifth Star Collective, LLC Social Worker 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 2020-10-17
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Competitor

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City CHICAGO
Zip Code 60622

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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