MIA DAGOSTINO LLC
NPI 1720458938
Social Worker - Clinical in Northbrook, IL

Active since September 30, 2015
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062(773) 266-8984 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Dagostino Llc NPPES

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

MIA DAGOSTINO LLC (NPI 1720458938) is a healthcare organization registered as a clinical in Northbrook, Illinois and active in the NPI registry since September 2015. The organization lists Mia Teresa D'agostino, Owner, as its authorized official.

NPPES Registry Identity

NPI1720458938
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIA DAGOSTINO LLC
Location Address60 REVERE DR, SUITE 100Northbrook, IL 60062-1563
Mailing Address1527 W Barry Ave, Unit 1Chicago, IL 60657-3105 · (773) 266-8984
Organization SubpartNo
Authorized OfficialMia Teresa D'agostinoOwner · (773) 266-8984
Enumeration DateSeptember 30, 2015
NPI 1720458938 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.
60 REVERE DR, Northbrook, IL 60062

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.

Psychiatry & Neurology (Psychiatry)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Psychologist
60 REVERE DR, SUITE 330
NORTHBROOK, IL 60062
Counselor (Professional)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Counselor
60 REVERE DR
NORTHBROOK, IL 60062
Psychologist (Clinical)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Psychiatry & Neurology (Psychiatry)
60 REVERE DR
NORTHBROOK, IL 60062
Psychiatry & Neurology (Psychiatry)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Clinic/Center
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062

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 Dagostino LLC's NPI number?

The NPI number for Mia Dagostino LLC is 1720458938. It was assigned to this organization in the NPPES registry on September 30, 2015.

Where is Mia Dagostino LLC located?

Mia Dagostino LLC is located at 60 Revere Dr Suite 100, Northbrook, IL 60062. The listed phone number is (773) 266-8984.

What is Mia Dagostino LLC'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 Dagostino LLC was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.