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LONGEVITY THERAPY AND WELLNESS OF GRAYSLAKE LLC
NPI 1124975776
Social Worker - Clinical in Grayslake, IL

Active since March 12, 2026
100 S ATKINSON RD STE 213, GRAYSLAKE, IL 60030(847) 668-8813 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Longevity Therapy And Wellness Of Grayslake Llc NPPES

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

LONGEVITY THERAPY AND WELLNESS OF GRAYSLAKE LLC (NPI 1124975776) is a healthcare organization registered as a clinical in Grayslake, Illinois and active in the NPI registry since March 2026. The organization lists Brian Schultz, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1124975776
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLONGEVITY THERAPY AND WELLNESS OF GRAYSLAKE LLC
Location Address100 S ATKINSON RD STE 213Grayslake, IL 60030-7820
Mailing Address795 Walton LnGrayslake, IL 60030-3425 · (847) 668-8813
Phone(847) 668-8813
Organization SubpartNo
Authorized OfficialBrian SchultzOwner/therapist · (847) 668-8813
Enumeration DateMarch 12, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1124975776 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.
100 S ATKINSON RD STE 213, Grayslake, IL 60030
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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 Longevity Therapy And Wellness Of Grayslake LLC's NPI number?

The NPI number for Longevity Therapy And Wellness Of Grayslake LLC is 1124975776. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Longevity Therapy And Wellness Of Grayslake LLC located?

Longevity Therapy And Wellness Of Grayslake LLC is located at 100 S Atkinson Rd Ste 213, Grayslake, IL 60030. The listed phone number is (847) 668-8813.

What is Longevity Therapy And Wellness Of Grayslake 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 Longevity Therapy And Wellness Of Grayslake LLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.