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LUMINATE THERAPY GROUP OF ILLINOIS LLC NPI 1740745934


NPI Information

NPI: 1740745934
Provider Name: LUMINATE THERAPY GROUP OF ILLINOIS, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
580 SLAWIN COURT
MT. PROSPECT, IL
ZIP 60056
Phone: (224) 612-8338
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LUMINATE THERAPY GROUP OF ILLINOIS, LLC is a clinical social worker in Mt. Prospect, IL. The provider is 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. LUMINATE THERAPY GROUP OF ILLINOIS, LLC NPI is 1740745934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

580 SLAWIN COURT
MT. PROSPECT, IL
ZIP 60056
Phone: (224) 612-8338
Fax: (512) 894-9901

The provider's authorized official is Todd Bock .
The authorized official title is President and has the following contact phone number (512) 858-9900.

The enumeration date for this NPI number is 2/1/2019 and was last updated on 2/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes
2235Z00000XSpeech-Language PathologistNo
3103K00000XBehavior AnalystNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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