Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Self Design, Inc

Organization Clinical Social Worker · NPI 1023374261

Self Design, Inc provides Clinical Social Worker services in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

1007 Church St Ste 515
Evanston, IL 60201-3624 Not confirmed with CMS for 14 years — call before visiting
Phone: (773) 818-6800
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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 149.006816 (IL)

Record details

NPI number1023374261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Blackman — President/Owner · (773) 818-6800
Other names Julie Lcsw, Ltd
NPI enumeratedApril 2, 2012
Last updated in NPPESApril 2, 2012
Mailing address1007 Church St, Suite 515, Evanston, IL 60201-3624

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