1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Social Worker
  6. NPI Profile

MINDFUL BROTHERS COLLECTIVE FOUNDATION
NPI 1669292595
Social Worker - Clinical in Chicago, IL

Active since October 15, 2024
4250 N MARINE DR STE 200, CHICAGO, IL 60613(773) 742-6684 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mindful Brothers Collective Foundation NPPES

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

MINDFUL BROTHERS COLLECTIVE FOUNDATION (NPI 1669292595) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2024. The organization maintains a secondary practice location in Chicago and lists Thomas W Ivey, Ceo & Founder, as its authorized official.

NPPES Registry Identity

NPI1669292595
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL BROTHERS COLLECTIVE FOUNDATION
Location Address4250 N MARINE DR STE 200Chicago, IL 60613-1936
Mailing Address4250 N Marine Dr Ste 200Chicago, IL 60613-1936 · (773) 742-6684
Phone(773) 742-6684
Organization SubpartNo
Authorized OfficialThomas W IveyCeo & Founder · (773) 742-6684
Enumeration DateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1669292595 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.
4250 N MARINE DR STE 200, Chicago, IL 60613
Open in Google Maps ↗

Other Names 1

Doing Business AsMindful Brothers Collective Foundation

Secondary Practice Location 1

Location 14250 N Marine Dr Ste 200Chicago, IL 60613-1936 · Phone (773) 742-6684

Other Providers at the Same Location NPPES

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

UP YOUR GAME COUNSELING PLLC
Social Worker (Clinical)
4250 N MARINE DR STE 200
CHICAGO, IL 60613
Cook County (312) 373-0684

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 Mindful Brothers Collective Foundation's NPI number?

The NPI number for Mindful Brothers Collective Foundation is 1669292595. It was assigned to this organization in the NPPES registry on October 15, 2024.

Where is Mindful Brothers Collective Foundation located?

Mindful Brothers Collective Foundation is located at 4250 N Marine Dr Ste 200, Chicago, IL 60613. The listed phone number is (773) 742-6684.

What is Mindful Brothers Collective Foundation'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 Mindful Brothers Collective Foundation was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.