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

Innerbloom Therapy Practice PC

Organization Clinical Social Worker · NPI 1457080301

Innerbloom Therapy Practice PC provides Clinical Social Worker services in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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

2656 W Montrose Ave Ste 104
Chicago, IL 60618
Phone: (773) 969-6030
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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 number1457080301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Gulotta — President · (773) 969-6030
NPI enumeratedJune 7, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address1235 N Clybourn Ave, Suite A Box 222, Chicago, IL 60610

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