HOLLY R FAK (NPI# 1205013927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205013927 |
| Entity Type | Individual |
| Full Name | HOLLY R FAK |
| Credential | LCSW |
| Practice Address |
7715 N. Oconto Ave Niles IL 60714 |
| Practice Telephone | 3124373631 |
| Mailing Telephone | 3124373631 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
7715 N. OCONTO AVE |
| City | NILES |
| State | IL |
| Zip Code | 60714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| 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 |
|---|---|---|---|---|
| 1568007839 | Catherine Marie Dye | Social Worker | 1640 Sunny Estates Dr, Niles, OH 44446-4104 | 2019-11-11 |
| 1447726484 | Barbara Harsch | Social Worker | 8200 N Oketo Ave, Niles, IL 60714-2514 | 2018-10-17 |
| 1114426533 | Anastasia Baran | Social Worker | 241 Golf Mill Ctr Ste 708, Niles, IL 60714-1208 | 2018-02-12 |
| 1710410956 | Grace Siekman | Social Worker | 1507 Valley View Dr, Niles, MI 49120-8739 | 2017-04-05 |
| 1427589613 | Christina Defilippis | Social Worker | 8055 N Prospect St, Niles, IL 60714-2742 | 2017-03-21 |
| 1992150742 | Tiffany Russell | Social Worker | 210 E Main St Ste 16, Niles, MI 49120-2376 | 2016-04-29 |
| 1821401969 | Rebecca Ross | Social Worker | 7338 W Breen St, Niles, IL 60714-2206 | 2014-06-06 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1992148548 | Tyler Goodwine | Social Worker | 7646 N Waukegan Rd, Niles, IL 60714-3242 | 2013-04-14 |
| 1184962763 | Yvonne Rochelle Mcclean | Social Worker | 8172 Chapel Rd, Niles, MI 49120-9038 | 2013-01-16 |
| Find all providers in NILES | ||||
Please comment or provide details below to improve the information on HOLLY R FAK.
| 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.