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

Transformative Psychotherapy LLC

Organization Clinical Social Worker · NPI 1063847622

Transformative Psychotherapy LLC is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4753 N Broadway St 830
Chicago, IL 60640-5266
Phone: (773) 484-5186
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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 149002037 (IL)

Record details

NPI number1063847622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rivitz — Manager · (773) 484-5186
NPI enumeratedSeptember 13, 2013
Last updated in NPPESSeptember 17, 2013
Mailing address950 W Leland Ave, 310, Chicago, IL 60640-7100

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