Organization · Type 2 NPI
Longevity Therapy and Wellness of Grayslake LLC
Clinical Social Worker · Grayslake, IL
Practice location
100 S Atkinson Rd Ste 213
Grayslake, IL 60030-7820
Mailing address
795 Walton Ln
Grayslake, IL 60030-3425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1124975776
Longevity Therapy and Wellness of Grayslake LLC's National Provider Identifier is 1124975776, issued on Mar 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grayslake, IL. The record was last updated on May 18, 2026.