RESTORATIVE LIFE SERVICES, LLC (NPI# 1285981506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285981506 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE LIFE SERVICES, LLC |
| Practice Address |
169624 Governors Highway Flossmoor IL 60422 |
| Mailing Address |
4553 S Michigan Ave Chicago IL 60653-3997 |
| Practice Telephone | 7734125260 |
| Mailing Telephone | 7737269775 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Authorized Official Name | GHANA COOPER (OWNER) |
| Authorized Official Telephone | 7737269775 |
| Authorized Official Credential | LCSW, D.MIN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
169624 GOVERNORS HIGHWAY |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| 1831212232 | Ob Care LLC | Specialist | 19150 S Kedzie, Suite 100, Flossmoor, IL 60422 | 2007-04-09 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730663089 | Jasmine Studway | Social Worker | 19624 Governors Hwy Ste 2, Flossmoor, IL 60422-2086 | 2018-09-22 |
| 1235520180 | Ryan Kelly | Social Worker | 630 Argyle Ave, Flossmoor, IL 60422-1202 | 2015-02-13 |
| 1811292774 | Marie G Mckenna | Social Worker | 1038 Sterling Ave, 203a, Flossmoor, IL 60422-1200 | 2011-01-24 |
| 1376745273 | Gail L Nestor-loo | Social Worker | 1012 Western Ave, Flossmoor, IL 60422-1368 | 2007-06-03 |
| 1326097254 | Barry Berzy | Social Worker | 926 Braemar Rd, Flossmoor, IL 60422-2206 | 2006-05-08 |
| 1326045170 | Judith Ann Romaine | Social Worker | 19150 Kedzie, Ste 205, Flossmoor, IL 60422 | 2005-07-07 |
| 1740839497 | Tawana Trammell | Social Worker | 19630 Governors Hwy Ste 8, Flossmoor, IL 60422-2079 | 2019-09-05 |
| 1124529979 | Tina Goolsby | Social Worker | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2018-02-27 |
| 1841655222 | Sandra Anderson, Lcsw | Social Worker | 19624 Governors Hwy, Flossmoor, IL 60422-2077 | 2015-12-29 |
| 1588900633 | Sonya R Baker | Social Worker | 1020 Park Dr, # 819, Flossmoor, IL 60422-2536 | 2012-12-18 |
| Find all providers in FLOSSMOOR | ||||
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| 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.