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FIFTH STAR COLLECTIVE, LLC
NPI 1104425552
Social Worker - Clinical in Chicago, IL

Active since October 17, 2020
2711 N LAWNDALE AVE UNIT 2, CHICAGO, IL 60647(720) 982-9038 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2020, Oct 17, 2020 (2 updates tracked since 2020).

About Fifth Star Collective, Llc NPPES

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

FIFTH STAR COLLECTIVE, LLC (NPI 1104425552) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2020. The organization lists Connor Williams, Co-founder, Senior Consultant, as its authorized official.

NPPES Registry Identity

NPI1104425552
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFIFTH STAR COLLECTIVE, LLC
Location Address2711 N LAWNDALE AVE UNIT 2Chicago, IL 60647-1127
Mailing Address3914 W Altgeld St # 2eChicago, IL 60647-1004
Phone(720) 982-9038
Organization SubpartNo
Authorized OfficialConnor WilliamsCo-founder, Senior Consultant · (720) 982-9038
Enumeration DateOctober 17, 2020
Last NPPES UpdateNovember 13, 20202 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
✔ NPI 1104425552 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.
2711 N LAWNDALE AVE UNIT 2, Chicago, IL 60647
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Other Identifiers 2

Other149.018440IL · Licensed Clinical Social Worker
Other1336597418Personal Npi

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

Other Providers at the Same Location NPPES

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

CONNOR WILLIAMS LCSW
Social Worker (Clinical)
2711 N LAWNDALE AVE UNIT 2
CHICAGO, IL 60647
Cook County (773) 980-9138

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 Fifth Star Collective, LLC's NPI number?

The NPI number for Fifth Star Collective, LLC is 1104425552. It was assigned to this organization in the NPPES registry on October 17, 2020.

Where is Fifth Star Collective, LLC located?

Fifth Star Collective, LLC is located at 2711 N Lawndale Ave Unit 2, Chicago, IL 60647. The listed phone number is (720) 982-9038.

What is Fifth Star Collective, 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 Fifth Star Collective, LLC was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.