RADICALLYBLENDED SERVICES
NPI 1932942497
Social Worker - Clinical in Chicago, IL

Active since June 13, 2024
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615(872) 763-4405 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 14, 2024, Jun 13, 2024 (2 updates tracked since 2024).

About Radicallyblended Services NPPES

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

RADICALLYBLENDED SERVICES (NPI 1932942497) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since June 2024. The organization lists Keisha J Walker Mathew, Owner, as its authorized official.

NPPES Registry Identity

NPI1932942497
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRADICALLYBLENDED SERVICES
Location Address5113 S HARPER AVE STE 2CChicago, IL 60615-4119
Mailing Address5113 S Harper Ave Ste 2cChicago, IL 60615-4119 · (872) 763-4405
Organization SubpartNo
Authorized OfficialKeisha J Walker MathewOwner · (872) 763-4405
Enumeration DateJune 13, 2024
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1932942497 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.
5113 S HARPER AVE STE 2C, Chicago, IL 60615

Other Names 1

Doing Business AsRadicallyblended Services

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

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.

Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Psychiatry & Neurology (Psychiatry)
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Psychologist (Clinical)
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Home Health
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Counselor (Mental Health)
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615

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 Radicallyblended Services's NPI number?

The NPI number for Radicallyblended Services is 1932942497. It was assigned to this organization in the NPPES registry on June 13, 2024.

Where is Radicallyblended Services located?

Radicallyblended Services is located at 5113 S Harper Ave Ste 2C, Chicago, IL 60615. The listed phone number is (872) 763-4405.

What is Radicallyblended Services'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 Radicallyblended Services was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.