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NPI 1417476599 · Clinical Social Worker · Chicago, IL
Provider details
- NPI number
- 1417476599
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Jones, Coo/Chief Psychologist(773) 360-8852
- License
- 071.002712 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1220 N Hoyne Ave Ste B
Chicago, IL 60622-3190
Phone: (773) 360-8852
Fax: (773) 347-1777
Street-level locationGet directions
Mailing address
1220 N Hoyne Ave Ste B
Chicago, IL 60622-3190
Other names (DBA / former)
- Doing business as
- Ctp
Registry dates
- Enumerated
- 2017-09-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.