Organization · Type 2 NPI

Up Late Therapy PLLC

Clinical Social Worker · Chicago, IL

NPI number 1063326148 Active

Practice location

2934 N Lowell Ave
Chicago, IL 60641-5352

Call (847) 920-8176 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063326148

Up Late Therapy PLLC's National Provider Identifier is 1063326148, issued on Sep 28, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 28, 2026.