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CHANGE FORMATION LLC
NPI 1255989109
Social Worker - Clinical in Oak Park, IL

Active since September 03, 2019
151 N KENILWORTH AVE APT 6H, OAK PARK, IL 60301(312) 399-3464 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Change Formation Llc NPPES

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

CHANGE FORMATION LLC (NPI 1255989109) is a healthcare organization registered as a clinical in Oak Park, Illinois and active in the NPI registry since September 2019. The organization lists Carol Morken, Psychotherapist/practice Owner, as its authorized official.

NPPES Registry Identity

NPI1255989109
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHANGE FORMATION LLC
Location Address151 N KENILWORTH AVE APT 6HOak Park, IL 60301-1224
Mailing Address151 N Kenilworth Ave Apt 6hOak Park, IL 60301-1224 · (312) 399-3464
Phone(312) 399-3464
Organization SubpartNo
Authorized OfficialCarol MorkenPsychotherapist/practice Owner · (312) 399-3464
Enumeration DateSeptember 3, 2019
✔ NPI 1255989109 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.
151 N KENILWORTH AVE APT 6H, Oak Park, IL 60301
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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

Other Providers at the Same Location NPPES

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

MS. CAROL LINN MORKEN LSW
Social Worker (Clinical)
151 N KENILWORTH AVE APT 6H
OAK PARK, IL 60301
Cook County (312) 399-3464

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 Change Formation LLC's NPI number?

The NPI number for Change Formation LLC is 1255989109. It was assigned to this organization in the NPPES registry on September 3, 2019.

Where is Change Formation LLC located?

Change Formation LLC is located at 151 N Kenilworth Ave Apt 6H, Oak Park, IL 60301. The listed phone number is (312) 399-3464.

What is Change Formation 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 Change Formation LLC was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.