Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Black Dog Psychotherapy PLLC

Organization Clinical Social Worker · NPI 1174415269

Black Dog Psychotherapy PLLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1525 W Carmen Ave Apt 2
Chicago, IL 60640-8574
Phone: (512) 815-3186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1174415269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meredith Evett — Owner · (512) 815-3186
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address1525 W Carmen Ave Apt 2, Chicago, IL 60640-8574

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