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

The Black Sheep Sanctuary PLLC

Organization Clinical Social Worker · NPI 1457159386

The Black Sheep Sanctuary PLLC is a Clinical Social Worker in Lisle, 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

3080 Ogden Ave Ste 104
Lisle, IL 60532-1693
Phone: (630) 423-6244
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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 number1457159386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Vanderplow — Manager · (630) 709-1471
NPI enumeratedMarch 6, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address136 Terrace Dr, Dekalb, IL 60115-1936

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