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

Tides Mental Health of Il, PLLC

Organization Clinical Social Worker · NPI 1154014116

Tides Mental Health of Il, PLLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

3000 N Halsted St Ste 803
Chicago, IL 60657-6185
Phone: (312) 391-6845
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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
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1154014116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reginald Richardson — Owner · (312) 391-6845
NPI enumeratedMay 26, 2023
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address3000 N Halsted St Ste 803, Chicago, IL 60657-6185

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