LACKAYE THERAPY AND ADVOCACY LLC


Address: 2736 N Southport Ave Apt 1, Chicago, IL 60614-1230
Phone: 5733567909

LACKAYE THERAPY AND ADVOCACY LLC (NPI# 1083173520) 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) 1083173520
Entity Type Organization
Organization Name LACKAYE THERAPY AND ADVOCACY LLC
Practice Address 2736 N Southport Ave Apt 1
Chicago
IL 60614-1230
Practice Telephone 5733567909
Mailing Telephone 5733567909
Enumeration Date 2019-03-14
Last Update Date 2019-03-14
Authorized Official Name JOANNA LACKAYE (OWNER / THERAPIST)
Authorized Official Telephone 5733567909
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 2736 N SOUTHPORT AVE APT 1
City CHICAGO
State IL
Zip Code 60614-1230

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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]

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Competitor

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City CHICAGO
Zip Code 60614

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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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