Organization Active NPI

Wicker Park Therapy Group, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1811663248
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WICKER PARK THERAPY GROUP, PLLC
Practice address
1579 N Milwaukee Ave Ste 325
Chicago, IL 60622-2765
Phone
(773) 770-5590
NPI assigned
Aug 17, 2021
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
John Fiene, LCSWNPI 1245649276
Title
Owner
Phone
(773) 770-5590

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 Primary

Addresses

Primary practice location

1579 N Milwaukee Ave Ste 325
Chicago, IL 60622-2765

Mailing address

1579 N Milwaukee Ave Ste 325
Chicago, IL 60622-2765
Phone (773) 770-5590

Other names 1

  • Six Corners Counseling PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1579 N Milwaukee Ave
Ste 325
Chicago, IL 60622
Phone (630) 323-7500

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1811663248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE STE 325",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222765",
            "telephone_number": "773-770-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE STE 325",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222765",
            "telephone_number": "773-770-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKER PARK THERAPY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "FIENE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-770-5590",
        "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": [
        {
            "organization_name": "Six Corners Counseling PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 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.