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

Transformative Psychotherapy LLC

Organization Clinical Social Worker · NPI 1063847622

Transformative Psychotherapy LLC provides Clinical Social Worker services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4753 N Broadway St 830
Chicago, IL 60640-5266 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 484-5186
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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 149002037 (IL)

Record details

NPI number1063847622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rivitz — Manager · (773) 484-5186
NPI enumeratedSeptember 13, 2013
Last updated in NPPESSeptember 17, 2013
Mailing address950 W Leland Ave, 310, Chicago, IL 60640-7100

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