Life Changers LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007758 Issued in IL

Legal business name

LIFE CHANGERS LLC

Practice address

8543 S Stony Island Ave Ste 5
Chicago, IL 60617-2249

Phone

(773) 633-1934

Fax

(773) 901-2363

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Celeste McGill, LCSW

Title

Ceo

Phone

(773) 531-9571

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1710376967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4937 S ST. LAWRENCE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152114",
            "telephone_number": "773-531-9571",
            "fax_number": "773-901-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8543 S STONY ISLAND AVE STE 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172249",
            "telephone_number": "773-633-1934",
            "fax_number": "773-901-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-531-9571",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "15149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Life Enhancement Health Care Institute
• Life Enhancement Services of Il, LLC
• Life Forward Therapy
• Life Fulfillment Consultants, LLC

• 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 Jun 12, 2024; 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.