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ILLUMINATION PSYCHOTHERAPY, PLLC
NPI 1013557644
Social Worker - Clinical in Lincolnwood, IL

Active since January 11, 2020
7300 N CICERO AVE STE 102A, LINCOLNWOOD, IL 60712(773) 318-7304 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2020, Jan 26, 2020, Jan 11, 2020 (3 updates tracked since 2020).

About Illumination Psychotherapy, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMINATION PSYCHOTHERAPY, PLLC (NPI 1013557644) is a healthcare organization registered as a clinical in Lincolnwood, Illinois and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Chicago and lists Garrett Shotwell, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013557644
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameILLUMINATION PSYCHOTHERAPY, PLLC
Location Address7300 N CICERO AVE STE 102ALincolnwood, IL 60712-1641
Mailing Address7300 N Cicero Ave Ste 102aLincolnwood, IL 60712-1641 · (773) 318-7304
Phone(773) 318-7304
Organization SubpartNo
Authorized OfficialGarrett ShotwellOwner, Ceo · (773) 318-7304
Enumeration DateJanuary 11, 2020
Last NPPES UpdateJune 25, 20203 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1013557644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
7300 N CICERO AVE STE 102A, Lincolnwood, IL 60712
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Secondary Practice Location 1

Location 15557 1/2 N Magnolia Ave Apt 3EChicago, IL 60640-1334 · Phone (773) 318-7304

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illumination Psychotherapy, PLLC's NPI number?

The NPI number for Illumination Psychotherapy, PLLC is 1013557644. It was assigned to this organization in the NPPES registry on January 11, 2020.

Where is Illumination Psychotherapy, PLLC located?

Illumination Psychotherapy, PLLC is located at 7300 N Cicero Ave Ste 102A, Lincolnwood, IL 60712. The listed phone number is (773) 318-7304.

What is Illumination Psychotherapy, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Illumination Psychotherapy, PLLC was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.