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TRANSFORMATIVE PSYCHOTHERAPY LLC
NPI 1063847622
Social Worker - Clinical in Chicago, IL

Active since September 13, 2013
4753 N BROADWAY ST, 830, CHICAGO, IL 60640(773) 484-5186 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Transformative Psychotherapy Llc NPPES

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

TRANSFORMATIVE PSYCHOTHERAPY LLC (NPI 1063847622) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since September 2013. The organization lists Lisa J. Rivitz, Manager, as its authorized official.

NPPES Registry Identity

NPI1063847622
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRANSFORMATIVE PSYCHOTHERAPY LLC
Location Address4753 N BROADWAY ST, 830Chicago, IL 60640-5266
Mailing Address950 W Leland Ave, #310Chicago, IL 60640-7100 · (773) 484-5186
Phone(773) 484-5186
Organization SubpartNo
Authorized OfficialLisa J. RivitzManager · (773) 484-5186
Enumeration DateSeptember 13, 2013
Last NPPES UpdateSeptember 17, 2013
✔ NPI 1063847622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149002037
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.
4753 N BROADWAY ST, Chicago, IL 60640
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMRAN NASEEM MALIK QMHP
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 293-8430
MS. SUSANA MONTENEGRO MCLELLAN LCPC, NCC, CADC
Counselor (Professional)
4753 N BROADWAY ST, SUITE 720
CHICAGO, IL 60640
Cook County (773) 899-3245
DR. KRISTINA EUNJOO CHUNG-HELLINGA D.C.
Chiropractor
4753 N BROADWAY ST, SUITE 101
CHICAGO, IL 60640
Cook County (773) 271-8284
MR. DENNIS DELFOSSE LCPC
Counselor (Professional)
4753 N BROADWAY ST, SUITE 900, 910, 925
CHICAGO, IL 60640
Cook County (773) 989-2780
JOANNA VERGOTH LCSW
Social Worker (Clinical)
4753 N BROADWAY ST, SUITE 509
CHICAGO, IL 60640
Cook County (917) 796-8213
JOANNE MARWIL, PSY.D. AND ASSOCIATES
Psychologist (Clinical)
4753 N BROADWAY ST, SUITE 826
CHICAGO, IL 60640
Cook County (773) 317-3949
MS. SUSAN M. MULLEN LCSW, CADC
Social Worker (Clinical)
4753 N BROADWAY ST, SUITE 608
CHICAGO, IL 60640
Cook County (847) 638-4234
JAMES V STATLER L.C.S.W.
Social Worker (Clinical)
4753 N BROADWAY ST, SUITE 608
CHICAGO, IL 60640
Cook County (773) 266-2340

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 Transformative Psychotherapy LLC's NPI number?

The NPI number for Transformative Psychotherapy LLC is 1063847622. It was assigned to this organization in the NPPES registry on September 13, 2013.

Where is Transformative Psychotherapy LLC located?

Transformative Psychotherapy LLC is located at 4753 N Broadway St 830, Chicago, IL 60640. The listed phone number is (773) 484-5186.

What is Transformative Psychotherapy LLC'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 Transformative Psychotherapy LLC was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.