OrganizationActive
Real Change Therapy LLC
NPI 1164180923 · Clinical Social Worker · Mokena, IL
Provider details
- NPI number
- 1164180923
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anna Ashum, Owner(815) 483-4460
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
11225 Front St
Mokena, IL 60448-1303
Phone: (815) 483-4460
Street-level locationGet directions
Mailing address
1811 Lewis Ln
New Lenox, IL 60451-9609
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.