Organization Active NPI

Imagination Grove Play Therapy PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1679490841
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IMAGINATION GROVE PLAY THERAPY PLLC
Practice address
3411 W Diversey Ave Ste 5-6
Chicago, IL 60647-1245
Phone
(312) 469-0339
NPI assigned
Jun 30, 2026
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Brianne Daubenspeck
Title
Owner and Therapist
Phone
(773) 392-6853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3411 W Diversey Ave Ste 5-6
Chicago, IL 60647-1245

Mailing address

3411 W Diversey Ave Ste 5-6
Chicago, IL 60647-1245
Phone (312) 469-0339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1679490841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE STE 5-6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "312-469-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE STE 5-6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "312-469-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINATION GROVE PLAY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "DAUBENSPECK",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "773-392-6853"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.