With Wings Therapy Group, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WITH WINGS THERAPY GROUP, PLLC

Practice address

72 S la Grange Rd Ste 9
La Grange, IL 60525-6318

Phone

(773) 507-3631

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Marie Jakubiak, LCSWNPI 1851701726

Title

Owner

Phone

(773) 507-3631

Specialties & licenses 1

Addresses

Other names 1

• Amy M. Jakubiak, LCSW, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Marie Jakubiak, LCSW

  • Clinical Social Worker
  • La Grange, IL
  • NPI 1851701726
  NPD Authorized official

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1619641560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 S LA GRANGE RD STE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256318",
            "telephone_number": "773-507-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S LA GRANGE RD STE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256318",
            "telephone_number": "773-507-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH WINGS THERAPY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "JAKUBIAK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-507-3631",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy M. Jakubiak, LCSW, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in La Grange, IL
• Providers in La Grange, 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 Aug 4, 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.