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

Stephanie Clark, LCPC

Individual provider Professional Counselor · NPI 1760969588

Stephanie Clark, LCPC is a Mental Health Counselor in Chicago, Illinois. Qualified in 2013, 13 years ago. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2018
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

5453 W Diversey Ave
Chicago, IL 60639-1413
Phone: (773) 564-9070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.010831 (IL)

Record details

NPI number1760969588
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESJuly 24, 2018
Mailing address5453 W Diversey Ave, Chicago, IL 60639-1413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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