MR. PREM K PAHWA (NPI# 1215150412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215150412 |
| Entity Type | Individual |
| Full Name | MR. PREM K PAHWA |
| Credential | LCSW |
| Practice Address |
203 N Wabash Ave Suite 701 Chicago IL 60601-2406 |
| Mailing Address |
2821 W Greenleaf Ave Chicago IL 60645-2913 |
| Practice Telephone | 7739192919 |
| Mailing Telephone | 7739192919 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649361791 | Prem Nath Pahwa | Specialist | 1431 N Western Ave, 134, Chicago, IL 60622-1797 | 2006-09-27 |
| Street Address |
203 N WABASH AVE SUITE 701 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340776 | Richard Goldwasser | Psychologist | 203 N Wabash Ave, Suite 2000, Chicago, IL 60601-2417 | 2006-03-14 |
| 1205134749 | Heidi Beucher | Acupuncturist | 203 N Wabash Ave, Suite 1007, Chicago, IL 60601-2406 | 2011-03-08 |
| 1578721817 | Mary Gardner | Psychologist | 203 N Wabash Ave, Suite 1805, Chicago, IL 60601-2406 | 2008-05-22 |
| 1376726398 | Infinite Positivity, Inc. | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-12-13 |
| 1801001789 | Julia Lynn Banta | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-05-13 |
| 1710003512 | Kimberly A. Sharky | Marriage & Family Therapist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-03-22 |
| 1770614315 | Mary F. Andrus | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-03-07 |
| 1457427239 | Lawrence Paul Maucieri Jr. | Clinical Neuropsychologist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2006-11-26 |
| 1770654816 | Gardner Psychological Associates, Inc. | Psychologist | 203 N Wabash Ave, Suite 1805, Chicago, IL 60601-2406 | 2006-11-12 |
| 1952489981 | Brian L Ragsdale | Psychologist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2408 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
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| 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] |
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| 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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| 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.