Alza Great Lakes Psychotherapy Professional LLC
NPI 1720812860 · Clinical Social Worker · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alza Great Lakes Psychotherapy Professional LLC is a Clinical Social Worker organization in Chicago, IL (NPI 1720812860).
Provider details
- NPI number
- 1720812860
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ena Milllward, Lcsw(773) 707-6093
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-08-30
- Last updated
- 2025-02-12
- Certified
- 2025-02-12
Frequently asked questions
- What is Alza Great Lakes Psychotherapy Professional LLC's NPI number?
- Alza Great Lakes Psychotherapy Professional LLC's National Provider Identifier (NPI) is 1720812860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alza Great Lakes Psychotherapy Professional LLC?
- Alza Great Lakes Psychotherapy Professional LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Alza Great Lakes Psychotherapy Professional LLC located?
- Alza Great Lakes Psychotherapy Professional LLC's practice location on file with NPPES is 1719 N Rutherford Ave, Chicago, IL 60707-3942.
- What is Alza Great Lakes Psychotherapy Professional LLC's phone number?
- The practice phone number listed in the NPPES registry for Alza Great Lakes Psychotherapy Professional LLC is (708) 824-7533.
- Does Alza Great Lakes Psychotherapy Professional LLC accept Medicare?
- Alza Great Lakes Psychotherapy Professional LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alza Great Lakes Psychotherapy Professional LLC?
- The authorized official listed on Alza Great Lakes Psychotherapy Professional LLC's NPPES record is Ena Milllward, Lcsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alza Great Lakes Psychotherapy Professional LLC's NPI active?
- Yes — Alza Great Lakes Psychotherapy Professional LLC's NPI (1720812860) is active in the NPPES registry as of the last update on 2025-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.