DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK DOG PSYCHOTHERAPY PLLC

Active Organization

BLACK DOG PSYCHOTHERAPY PLLC is a Clinical Social Worker organization located in CHICAGO, Illinois. NPI 1174415269 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHICAGO, IL

Registration Details

NPI Number
1174415269
Provider Type
Organization
NPI Issued
Jul 15, 2025 (1.1045865755972 yrs)
Last Updated
Jul 15, 2025

Practice Information

Address
1525 W CARMEN AVE APT 2
CHICAGO, IL, 606408574
Browse IL providers · Browse ZIP 60640
Phone
5128153186
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.