MIND & BODY BALANCE, LLC
NPI 1215258991
Social Worker - Clinical in Chicago, IL

Q: What is Mind & Body Balance, LLC's NPI number?

The NPI number for Mind & Body Balance, LLC is 1215258991. It was assigned to this organization in the NPPES registry on June 17, 2010.

Q: What is Mind & Body Balance, LLC's specialty?

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

Active since June 17, 2010

1300 W BELMONT AVE STE 407, CHICAGO, IL 60657(773) 403-5149 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mind & Body Balance, Llc NPPES

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

MIND & BODY BALANCE, LLC (NPI 1215258991) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since June 2010. The organization lists Joanne Flom, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1215258991

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMIND & BODY BALANCE, LLC

Location Address1300 W BELMONT AVE STE 407Chicago, IL 60657-3242

Mailing Address4443 N Richmond StChicago, IL 60625-3823 · (773) 403-5149

Phone(773) 403-5149

Organization SubpartNo

Authorized OfficialJoanne FlomSocial Worker · (773) 403-5149

Enumeration DateJune 17, 2010

Last NPPES UpdateNovember 2, 2015

✔ NPI 1215258991 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 · 149010662

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.

1300 W BELMONT AVE STE 407, Chicago, IL 60657

Open in Google Maps ↗

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 7

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

DR. MERISSA MALACARA PSYD

Psychologist (Clinical)