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

HOLISTIC THERAPY-MIND, BODY, SPIRIT
NPI 1982469565
Social Worker - Clinical in Northbrook, IL

Active since February 14, 2024
770 SKOKIE BLVD UNIT 845, NORTHBROOK, IL 60062(847) 650-4444 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holistic Therapy-mind, Body, Spirit NPPES

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

HOLISTIC THERAPY-MIND, BODY, SPIRIT (NPI 1982469565) is a healthcare organization registered as a clinical in Northbrook, Illinois and active in the NPI registry since February 2024. The organization lists Jodi Petchenik, Owner, as its authorized official.

NPPES Registry Identity

NPI1982469565
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHOLISTIC THERAPY-MIND, BODY, SPIRIT
Location Address770 SKOKIE BLVD UNIT 845Northbrook, IL 60062-2360
Mailing Address770 Skokie Blvd Unit 845Northbrook, IL 60062-2360 · (847) 650-4444
Phone(847) 650-4444
Organization SubpartNo
Authorized OfficialJodi PetchenikOwner · (847) 650-4444
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1982469565 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.
770 SKOKIE BLVD UNIT 845, Northbrook, IL 60062
Open in Google Maps ↗

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

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 Holistic Therapy-Mind, Body, Spirit's NPI number?

The NPI number for Holistic Therapy-Mind, Body, Spirit is 1982469565. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Holistic Therapy-Mind, Body, Spirit located?

Holistic Therapy-Mind, Body, Spirit is located at 770 Skokie Blvd Unit 845, Northbrook, IL 60062. The listed phone number is (847) 650-4444.

What is Holistic Therapy-Mind, Body, Spirit'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 Holistic Therapy-Mind, Body, Spirit was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.