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General NPI Number Information
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NPI Number | 1023795739
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Entity Type | Organization
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Legal Business Name | NORTHWORK COUNSELING LLC
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 111 W JACKSON BLVD STE 1700
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City | CHICAGO
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State | IL
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Zip | 60604-3597
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Country | US
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Telephone | 618-582-3021
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Fax |
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Provider Business Mailing Address
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Address Line | 14410 W 78TH TER
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City | LENEXA
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State | KS
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Zip | 66216-4209
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Country | US
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Telephone | 618-521-8709
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SETH ERICKSON
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Credential | LCSW
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Telephone | 618-582-3021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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