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LIVE OAK, INC.
NPI 1629141163
Social Worker - Clinical in Chicago, IL

Active since November 15, 2006
1300 W BELMONT AVE, SUITE #400, CHICAGO, IL 60657(773) 880-1310(773) 880-1321 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Live Oak, Inc. NPPES

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

LIVE OAK, INC. (NPI 1629141163) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since November 2006. The organization lists Corina Maria Teofilo Mattson, Coo, as its authorized official.

NPPES Registry Identity

NPI1629141163
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIVE OAK, INC.
Location Address1300 W BELMONT AVE, SUITE #400Chicago, IL 60657-3200
Mailing Address1300 W Belmont Ave Ste 300Chicago, IL 60657-3200 · (773) 880-1310 · Fax (773) 880-1321
Phone(773) 880-1310
Fax(773) 880-1321
Organization SubpartNo
Authorized OfficialCorina Maria Teofilo MattsonCoo · (612) 805-0395
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1629141163 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 · 149003431
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, Chicago, IL 60657
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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 20

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

NEGIN MOTLAGHARANI
Marriage & Family Therapist
1300 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 813-7701
LISA OLDHAM MD LLC
Obstetrics & Gynecology (Gynecology)
1300 W BELMONT AVE, SUITE 10
CHICAGO, IL 60657
Cook County (312) 942-0099
DR. MANISHA DAYAL PSY.D.
Psychologist (Clinical)
1300 W BELMONT AVE, #216
CHICAGO, IL 60657
Cook County (773) 880-1390
ROBERT YATA MA, LPC
Counselor (Professional)
1300 W BELMONT AVE, SUITE 400
CHICAGO, IL 60657
Cook County (773) 880-1310
TAYLOR PSYCHOLOGICAL SERVICES PC
Psychologist (Clinical)
1300 W BELMONT AVE, SUITE 115
CHICAGO, IL 60657
Cook County (312) 753-9465
HELEN WYATT
Counselor (Mental Health)
1300 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 813-7701
ANGELA MARIE VEACH MS LCPC
Counselor (Professional)
1300 W BELMONT AVE, SUITE 216
CHICAGO, IL 60657
Cook County (224) 217-1882
DR. COURTNEY K DOMENICO PSYD
Psychologist (Clinical)
1300 W BELMONT AVE, SUITE 302
CHICAGO, IL 60657
Cook County (773) 883-5398

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 Live Oak, Inc.'s NPI number?

The NPI number for Live Oak, Inc. is 1629141163. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Live Oak, Inc. located?

Live Oak, Inc. is located at 1300 W Belmont Ave Suite #400, Chicago, IL 60657. The listed phone number is (773) 880-1310.

What is Live Oak, Inc.'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 Live Oak, Inc. was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.