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

Innerbloom Therapy Practice PC

Organization Clinical Social Worker · NPI 1457080301

Innerbloom Therapy Practice PC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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

2656 W Montrose Ave Ste 104
Chicago, IL 60618
Phone: (773) 969-6030
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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 number1457080301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Gulotta — President · (773) 969-6030
NPI enumeratedJune 7, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address1235 N Clybourn Ave, Suite A Box 222, Chicago, IL 60610

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