TODD FREDERICK HARRISON


Address: 4740 N Clark St, C/o C4, Chicago, IL 60640-4689
Phone: 7737690205

TODD FREDERICK HARRISON (NPI# 1861411357) 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) 1861411357
Entity Type Individual
Full Name TODD FREDERICK HARRISON
Credential LCSW
Practice Address 4740 N Clark St
C/o C4
Chicago
IL 60640-4689
Mailing Address 4205 N Francisco Ave
Chicago
IL 60618-2609
Practice Telephone 7737690205
Mailing Telephone 7732799795
Enumeration Date 2006-07-18
Last Update Date 2008-01-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE SHIELD 14900533 01

Other Providers TODD HARRISON

NPI Name Taxonomy Address Enumeration
1619197670 Todd William Harrison Counselor 8232 E 29th Pl, Denver, CO 80238-2723 2007-05-01
1124164090 Todd Avery Harrison Dentist 532 E. Woodin, Chelan, WA 98816 2007-01-29
1457350647 Todd S Harrison Specialist/Technologist 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 2005-07-19
1841662160 Todd Harrison Chiropractor 1118 12th Ave S, Nampa, ID 83651-4663 2015-10-26
1447281837 Todd A Harrison Podiatrist 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742 2006-07-05

Office Location

Street Address 4740 N CLARK ST
C/O C4
City CHICAGO
State IL
Zip Code 60640-4689

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972141950 Alison Dowd Counselor 4740 N Clark St, Chicago, IL 60640-4689 2019-12-20
1275007486 Teri Cicurel Counselor 4740 N Clark St, Chicago, IL 60640-4689 2019-01-22
1609346410 Chantal Pico Counselor 4740 N Clark St, Chicago, IL 60640-4689 2018-12-05
1023595683 Michelle L Johnson Counselor 4740 N Clark St, Chicago, IL 60640-4689 2018-07-25
1649770827 Judith D Russell Registered Nurse 4740 N Clark St, Chicago, IL 60640-4689 2018-02-14
1871009167 Andrea Vernon-cwik Social Worker 4740 N Clark St, Chicago, IL 60640-4689 2017-12-21
1790290385 Anna Lyman Counselor 4740 N Clark St, Chicago, IL 60640-4689 2017-12-05
1639540974 John Vizuete Social Worker 4740 N Clark St, Chicago, IL 60640-4689 2015-10-13
1063888618 Monica Sade Mitchell Counselor 4740 N Clark St, Chicago, IL 60640-4689 2015-08-18
1497140859 Maria Dhoreen Malalis Registered Nurse 4740 N Clark St, Chicago, IL 60640-4689 2015-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336754233 Rci (wrs), LLC. Clinic/Center 5221-23 North Broadway, Chicago, IL 60640 2020-09-09
1548871916 Borici Counseling LLC Counselor 4731 N Paulina St, Chicago, IL 60640 2020-08-11
1306319173 Gerardo Garcia Physician Assistant Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 2019-01-04
1386121283 Aea Optical Ventures, LLC Clinic/Center 4814 N Clark St, Chicago, IL 60640 2018-07-24
1023503885 Lauren Vassiliades Internal Medicine Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 2018-06-25
1477061620 Yesenia Vargas Nurse Practitioner 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1932622206 Jasleen Kaur Brar Internal Medicine 4646 N. Marine Dr., Chicago, IL 60640 2017-07-19
1750802849 Umer Mukhtar Internal Medicine 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 2017-06-29
1184144081 Ellie Navidson Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
1962932558 Jennifer Stridh Marriage & Family Therapist 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 2017-06-15
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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 60640

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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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