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

MIA TERESA D'AGOSTINO LCSW
NPI 1669953683
Social Worker - Clinical in Chicago, IL

Active since August 27, 2018
2500 W BRADLEY PL STE 210, CHICAGO, IL 60618(475) 215-1234 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Teresa D'agostino Lcsw NPPES

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

MIA TERESA D'AGOSTINO LCSW (NPI 1669953683) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-017535) and active in the NPI registry since August 2018. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1669953683
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIA TERESA D'AGOSTINOCredential: LCSW
Location Address2500 W BRADLEY PL STE 210Chicago, IL 60618-4716
Mailing Address1526 W Belle Plaine Ave Apt 2Chicago, IL 60613-1857 · (773) 266-8984
Phone(475) 215-1234
Sole ProprietorNo
Enumeration DateAugust 27, 2018
✔ NPI 1669953683 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 · 149-017535
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.
2500 W BRADLEY PL STE 210, Chicago, IL 60618
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 W Bradley Pl Ste 100Chicago, IL 60618-4716 · Phone (475) 215-1234

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 Mia D'agostino's NPI number?

The NPI number for Mia D'agostino is 1669953683. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Mia D'agostino located?

Mia D'agostino practices at 2500 W Bradley Pl Ste 210, Chicago, IL 60618. The listed phone number is (475) 215-1234.

What is Mia D'agostino'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 Mia D'agostino was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.