INNERBLOOM THERAPY PRACTICE PC
NPI 1457080301
Social Worker - Clinical in Chicago, IL

Active since June 07, 2022
2656 W MONTROSE AVENUE, SUITE 104, CHICAGO, IL 60618(773) 969-6030 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2023, Jun 7, 2022 (2 updates tracked since 2022).

About Innerbloom Therapy Practice Pc NPPES

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

INNERBLOOM THERAPY PRACTICE PC (NPI 1457080301) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since June 2022. The organization lists Denise Lynn Gulotta, President, as its authorized official.

NPPES Registry Identity

NPI1457080301
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINNERBLOOM THERAPY PRACTICE PC
Location Address2656 W MONTROSE AVENUE, SUITE 104Chicago, IL 60618
Mailing Address1235 N Clybourn Ave, Suite A Box 222Chicago, IL 60610 · (773) 969-6030
Organization SubpartNo
Authorized OfficialDenise Lynn GulottaPresident · (773) 969-6030
Enumeration DateJune 7, 2022
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1457080301 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.

2656 W MONTROSE AVENUE, Chicago, IL 60618

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Innerbloom Therapy Practice PC's NPI number?

The NPI number for Innerbloom Therapy Practice PC is 1457080301. It was assigned to this organization in the NPPES registry on June 7, 2022.

Where is Innerbloom Therapy Practice PC located?

Innerbloom Therapy Practice PC is located at 2656 W Montrose Avenue Suite 104, Chicago, IL 60618. The listed phone number is (773) 969-6030.

What is Innerbloom Therapy Practice PC'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 Innerbloom Therapy Practice PC was last updated on August 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.