Luminescence Therapy and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LUMINESCENCE THERAPY AND WELLNESS

Practice address

1621 W Farwell Ave Apt 2N
Chicago, IL 60626-3633

Phone

(773) 217-8819

NPI assigned

Jul 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keeton Phillips, LCSW

Title

Owner

Phone

(812) 204-3469

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1023936515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W FARWELL AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W FARWELL AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263633",
            "telephone_number": "773-217-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINESCENCE THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KEETON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-204-3469",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.