OrganizationActive
Illumination Psychotherapy, PLLC
NPI 1013557644 · Clinical Social Worker · Lincolnwood, IL
Provider details
- NPI number
- 1013557644
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Garrett Shotwell, Owner, Ceo(773) 318-7304
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7300 N Cicero Ave Ste 102a
Lincolnwood, IL 60712-1641
Phone: (773) 318-7304
Street-level locationGet directions
Mailing address
7300 N Cicero Ave Ste 102a
Lincolnwood, IL 60712-1641
Additional practice locations (1)
- 5557 1/2 N Magnolia Ave Apt 3eChicago, IL 60640-1334Phone: (773) 318-7304
Registry dates
- Enumerated
- 2020-01-11
- Last updated
- 2020-06-25
- Certified
- 2020-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.