INTERTWINED
NPI 1205168424
Social Worker - Clinical in Chicago, IL

Q: What is Intertwined's NPI number?

The NPI number for Intertwined is 1205168424. It was assigned to this organization in the NPPES registry on February 13, 2010.

Q: What is Intertwined's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Intertwined was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 13, 2010

10540 S WESTERN AVE STE 103, CHICAGO, IL 60643(708) 499-2030 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, Jun 1, 2023 (2 updates tracked since 2023).

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About Intertwined NPPES

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

INTERTWINED (NPI 1205168424) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since February 2010. The organization lists Rochelle Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1205168424

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameINTERTWINED

Location Address10540 S WESTERN AVE STE 103Chicago, IL 60643-2541

Mailing Address10540 S Western Ave Ste 103Chicago, IL 60643-2541 · (708) 499-2030 · Fax (708) 634-3688

Phone(708) 499-2030

Organization SubpartNo

Authorized OfficialRochelle JohnsonOwner · (708) 499-2030

Enumeration DateFebruary 13, 2010

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1205168424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149011142

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180005742 (IL)

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

10540 S WESTERN AVE STE 103, Chicago, IL 60643

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

CHANEL A GRAY LCPC

Counselor (Professional)