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

Stardust Therapy PLLC

Organization Clinical Social Worker · NPI 1801765490

Stardust Therapy PLLC is a Clinical Social Worker in Skokie, Illinois. Registered with an NPI since 2025.

In the registry since
2025
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

9711 Skokie Blvd Ste H
Skokie, IL 60077-1384
Phone: (312) 800-1508
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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 number1801765490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Kaloustian — Licensed Clinical Social Worker · (312) 800-1508
NPI enumeratedNovember 1, 2025
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025
Mailing address9711 Skokie Blvd Ste H, Skokie, IL 60077-1384

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