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SERVANT OF PEACE LLC
NPI 1104702133
Social Worker - Clinical in Evergreen Pk, IL

Active since August 14, 2025
9730 S WESTERN AVE STE 306, EVERGREEN PK, IL 60805(773) 332-6664 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Servant Of Peace Llc NPPES

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

SERVANT OF PEACE LLC (NPI 1104702133) is a healthcare organization registered as a clinical in Evergreen Pk, Illinois and active in the NPI registry since August 2025. The organization lists Aidarina Basarudin-pigott, Owner, as its authorized official.

NPPES Registry Identity

NPI1104702133
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSERVANT OF PEACE LLC
Location Address9730 S WESTERN AVE STE 306Evergreen Pk, IL 60805-2766
Mailing Address14012 S Green Bay AveBurnham, IL 60633-1616 · (773) 332-6664
Phone(773) 332-6664
Organization SubpartNo
Authorized OfficialAidarina Basarudin-pigottOwner · (773) 332-6664
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1104702133 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.
9730 S WESTERN AVE STE 306, Evergreen Pk, IL 60805
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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

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 Servant Of Peace LLC's NPI number?

The NPI number for Servant Of Peace LLC is 1104702133. It was assigned to this organization in the NPPES registry on August 14, 2025.

Where is Servant Of Peace LLC located?

Servant Of Peace LLC is located at 9730 S Western Ave Ste 306, Evergreen Pk, IL 60805. The listed phone number is (773) 332-6664.

What is Servant Of Peace 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 Servant Of Peace LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.