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

Divergent Path Therapy, PLLC

Organization Clinical Social Worker · NPI 1417778101

Divergent Path Therapy, PLLC provides Clinical Social Worker services in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
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

3232 N Halsted St Apt D403
Chicago, IL 60657-3487
Phone: (872) 228-9005
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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

Record details

NPI number1417778101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julia Howard — Psychotherapist · (757) 903-1246
NPI enumeratedOctober 24, 2024
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026
Mailing address3232 N Halsted St Apt D403, Chicago, IL 60657-3487

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