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

Fermata Psychotherapy, PC

Organization Clinical Social Worker · NPI 1669964482

Fermata Psychotherapy, PC provides Clinical Social Worker services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

53 W Jackson Blvd Ste 1450
Chicago, IL 60604-3535
Phone: (312) 725-6192
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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 149.019286 (IL)

Record details

NPI number1669964482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santiago Delboy — President · (312) 520-6096
NPI enumeratedJune 6, 2018
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address53 W Jackson Blvd Ste 1632, Chicago, IL 60604-3734

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