MR. JORDAN MAHER I (NPI# 1366996308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366996308 |
| Entity Type | Individual |
| Full Name | MR. JORDAN MAHER I |
| Practice Address |
333 W Pierce Rd #175 Itasca IL 60143-3116 |
| Practice Telephone | 6307731985 |
| Mailing Telephone | 6307731985 |
| Mailing Fax Number | 6307731988 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
333 W PIERCE RD #175 |
| City | ITASCA |
| State | IL |
| Zip Code | 60143-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093957300 | Camelot Care Centers, LLC | Community/Behavioral Health | 333 W Pierce Rd, Suite 175, Itasca, IL 60143-3116 | 2009-04-01 |
| 1326581117 | Jennifer Beverly | Counselor | 333 W Pierce Rd, 120, Itasca, IL 60143-3116 | 2016-11-28 |
| 1699222802 | Jason Keeler | Social Worker | 333 W Pierce Rd, Suite 175, Itasca, IL 60143-3116 | 2016-09-06 |
| 1619421658 | David Thomas Boe | Social Worker | 333 W Pierce Rd, Suite 175, Itasca, IL 60143-3116 | 2016-08-08 |
| 1275087215 | Shasheena Polk | Social Worker | 333 W Pierce Rd, Suite 175, Itasca, IL 60143-3116 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699204164 | Naila Pervez | Developmental Therapist | 1312 Prestwick Ln, Itasca, IL 60143 | 2017-06-08 |
| 1194267013 | Phylicia Ranes | Counselor | 333 Pierce Rd, Itassca, IL 60143 | 2016-11-09 |
| 1467832766 | Emily Lefew | Counselor | 333 W Pierce Rd Ste 175, Itasca, IL 60143 | 2015-06-02 |
| 1295021269 | Chicago Autism and Behavior Specialists | Behavioral Analyst | 901 W Hawthorn Drive, Itasca, IL 60143 | 2011-06-28 |
| 1104071166 | Robert E. Scheck | Dentist | 115 W Orchard St., Itasca, IL 60143 | 2008-11-18 |
| 1831348028 | Amanda Parker | Psychologist | 901 W Hawthorn Dr, Itasca, IL 60143 | 2008-09-12 |
| 1770629289 | Sylwia Lucja Smirnow | Physical Therapist | 535 S Elm Str, Itasca, IL 60143 | 2007-01-30 |
| 1093802738 | Roy S Scheck | Family Medicine | 115 West Orchard St, Itasca, IL 60143 | 2006-10-06 |
| 1992270383 | Brooke Elizabeth Christenson | Behavior Technician | 901 W Hawthorn Drive, Itasca, ID 60143 | 2018-10-11 |
| 1477028108 | Nicole Dziekonski | Behavior Technician | 901 W Hawthorn Drive, Itasca, IL 60143 | 2018-10-09 |
| Find all providers in zip 60143 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421658 | David Thomas Boe | Social Worker | 333 W Pierce Rd, Suite 175, Itasca, IL 60143-3116 | 2016-08-08 |
| 1275087215 | Shasheena Polk | Social Worker | 333 W Pierce Rd, Suite 175, Itasca, IL 60143-3116 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295210 | Rachel H Maldonado | Social Worker | 312 Park Ave, Clarendon Hills, IL 60514-0400 | 2020-11-03 |
| 1982204889 | Emily Cotto | Social Worker | 521 S La Grange Rd Ste 201, La Grange, IL 60525-5633 | 2020-10-29 |
| 1689274763 | Matthew L Fetrow | Social Worker | 3001 Green Bay Rd Bldg 7, North Chicago, IL 60064-3048 | 2020-10-28 |
| 1013516517 | Jessica Ann Kurpiel | Social Worker | 244 N Craig Pl, Lombard, IL 60148-2007 | 2020-10-26 |
| 1699375121 | Deanna L Reed | Social Worker | 23819 W Mill St Ste 9, Plainfield, IL 60544-3460 | 2020-10-26 |
| 1285233825 | Grace Harrington | Social Worker | 1040 North Blvd Ste 225, Oak Park, IL 60301-1143 | 2020-10-24 |
| 1881293579 | Sheri Mccue | Social Worker | 4209 W Shamrock Ln # 1a, Mchenry, IL 60050-8700 | 2020-10-22 |
| 1811595325 | Veronica Lozano | Social Worker | 1 E Erie St Ste 525-4066, Chicago, IL 60611-2740 | 2020-10-16 |
| 1336747633 | Latrisha Mooberry | Social Worker | 2001 W Willow Knolls Dr Ste 210, Peoria, IL 61614-1257 | 2020-10-09 |
| 1285231688 | Alyssa Oddo | Social Worker | 2011 Gladstone Dr, Wheaton, IL 60189-5825 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.