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

Live Oak, Inc

Organization Clinical Social Worker · NPI 1629141163

Live Oak, Inc provides Clinical Social Worker services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 W Belmont Ave Ste #400
Chicago, IL 60657-3200
Phone: (773) 880-1310
Fax: (773) 880-1321
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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 149003431 (IL)

Record details

NPI number1629141163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corina Teofilo Mattson — Coo · (612) 805-0395
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address1300 W Belmont Ave Ste 300, Chicago, IL 60657-3200

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