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AGEFULLY
NPI 1639573017
Social Worker - Clinical in Chicago, IL

Active since October 14, 2014
1022 W 31ST PL APT 1F, CHICAGO, IL 60608(773) 939-0556 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agefully NPPES

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

AGEFULLY (NPI 1639573017) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2014. The organization lists Alixandra Foisy, Owner, as its authorized official.

NPPES Registry Identity

NPI1639573017
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAGEFULLY
Location Address1022 W 31ST PL APT 1FChicago, IL 60608-6580
Mailing Address1022 W 31st Pl Apt 1fChicago, IL 60608-6580 · (773) 939-0556
Phone(773) 939-0556
Organization SubpartNo
Authorized OfficialAlixandra FoisyOwner · (773) 939-0556
Enumeration DateOctober 14, 2014
✔ NPI 1639573017 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 · 149014627
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.
1022 W 31ST PL APT 1F, Chicago, IL 60608
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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 Agefully's NPI number?

The NPI number for Agefully is 1639573017. It was assigned to this organization in the NPPES registry on October 14, 2014.

Where is Agefully located?

Agefully is located at 1022 W 31st Pl Apt 1F, Chicago, IL 60608. The listed phone number is (773) 939-0556.

What is Agefully'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 Agefully was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.