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

Haven Therapy and Wellness PLLC

Organization Clinical Social Worker · NPI 1699545079

Haven Therapy and Wellness PLLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

1623 N Western Ave
Chicago, IL 60647-5321
Phone: (312) 248-4660
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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
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1699545079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Lane — Lcsw · (312) 248-4460
NPI enumeratedJanuary 5, 2024
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address1623 N Western Ave, Chicago, IL 60647-5321

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