Organization Active NPI

True Mind and Body LLC

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1417477357
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015774 Issued in IL
Legal business name
TRUE MIND AND BODY LLC
Practice address
3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424
Phone
(847) 400-0078
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Caroline Novack Greenwood, LCSWNPI 1952735334
Title
Co-Founder
Phone
(847) 400-0078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149015774 IL Primary

Addresses

Primary practice location

3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424

Mailing address

3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424
Phone (847) 400-0078

National Provider Directory

National Provider Directory

Locations

3000 Dundee Rd
Ste 101
Northbrook, IL 60062
Phone (847) 400-0078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417477357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622424",
            "telephone_number": "847-400-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622424",
            "telephone_number": "847-400-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE MIND AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "NOVACK",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "847-400-0078",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.