MR. THOMAS ROBERT UNDINE (NPI# 1245499151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245499151 |
| Entity Type | Individual |
| Full Name | MR. THOMAS ROBERT UNDINE |
| Credential | LCSW |
| Practice Address |
4958 N Milwaukee Ave Chicago IL 60630 |
| Mailing Address |
2901 Finley Rd Suite 102 Downers Grove IL 60515-1041 |
| Practice Telephone | 7732078500 |
| Mailing Telephone | 6304956800 |
| Mailing Fax Number | 6304958200 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.013059 | IL | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
2239902 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4958 N MILWAUKEE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505126 | Megan Holbach | Developmental Therapist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2019-06-05 |
| 1154882207 | Jennifer Zapinski | Occupational Therapist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2019-03-29 |
| 1003396235 | Kathryn Marie Kendzior | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630 | 2018-08-16 |
| 1871028795 | Judith Morris | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2017-04-28 |
| 1144771981 | Lindsay Hoffer | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2016-10-17 |
| 1245683846 | Melanie Claire Krupowicz | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2016-07-19 |
| 1174975437 | Olivia Dolleton | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2016-07-11 |
| 1184074296 | Jayne Frances Jay | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2016-06-20 |
| 1023486404 | Lauren Ragins | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2015-09-02 |
| 1508266735 | Susan Theis | Speech-Language Pathologist | 4958 N Milwaukee Ave, Chicago, IL 60630-2377 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| 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 |
|---|---|---|---|---|
| 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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| 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.