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

Live Oak, Inc

Organization Clinical Social Worker · NPI 1629141163

Live Oak, Inc is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 W Belmont Ave Ste #400
Chicago, IL 60657-3200
Phone: (773) 880-1310
Fax: (773) 880-1321
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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 149003431 (IL)

Record details

NPI number1629141163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corina Teofilo Mattson — Coo · (612) 805-0395
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address1300 W Belmont Ave Ste 300, Chicago, IL 60657-3200

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