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

Fermata Psychotherapy, PC

Organization Clinical Social Worker · NPI 1669964482

Fermata Psychotherapy, PC is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

53 W Jackson Blvd Ste 1450
Chicago, IL 60604-3535
Phone: (312) 725-6192
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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 · Licence 149.019286 (IL)

Record details

NPI number1669964482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santiago Delboy — President · (312) 520-6096
NPI enumeratedJune 6, 2018
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address53 W Jackson Blvd Ste 1632, Chicago, IL 60604-3734

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