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

Luminescence Therapy and Wellness

Organization Clinical Social Worker · NPI 1023936515

Luminescence Therapy and Wellness provides Clinical Social Worker services in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1621 W Farwell Ave Apt 2N
Chicago, IL 60626-3633
Phone: (773) 217-8819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1023936515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keeton Phillips — Owner · (812) 204-3469
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 9, 2026
Certification dateJuly 10, 2026
Mailing address1621 W Farwell Ave Apt 2n, Chicago, IL 60626-3633

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