MINUTECLINIC DIAGNOSTIC OF ILLINOIS PLLC
NPI 1477211415
Social Worker - Clinical in Oak Park, IL

Q: What is Minuteclinic Diagnostic Of Illinois PLLC's specialty?

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

Active since December 07, 2021

345 MADISON ST, OAK PARK, IL 60302(855) 417-2486 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Dec 7, 2021 (2 updates tracked since 2021).

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About Minuteclinic Diagnostic Of Illinois Pllc NPPES

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

MINUTECLINIC DIAGNOSTIC OF ILLINOIS PLLC (NPI 1477211415) is a healthcare organization registered as a clinical in Oak Park, Illinois and active in the NPI registry since December 2021. The organization lists Deborah Jean Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477211415

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMINUTECLINIC DIAGNOSTIC OF ILLINOIS PLLC

Location Address345 MADISON STOak Park, IL 60302-4111

Mailing AddressPo Box 772, Mc2295Woonsocket, RI 02895-0784

Phone(855) 417-2486

Organization SubpartNo

Authorized OfficialDeborah Jean PincinceAdministrator · (401) 770-3813

Enumeration DateDecember 7, 2021

Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1477211415 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.

345 MADISON ST, Oak Park, IL 60302

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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 7

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

JENNIFER ALYSE LODISE APRN

Nurse Practitioner (Family)