MEDICARE: SOCIALLY MINDED THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1255200614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCIALLY MINDED THERAPY LLC

Provider Business Mailing Address
First Line	:	3338 N RIDGEWAY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5218
Country	:	US
Telephone Number	:	630-740-2148
Fax Number	:

Provider Business Practice Location Address
First Line	:	3338 N RIDGEWAY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5218
Country	:	US
Telephone Number	:	630-740-2148
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	CAITLIN ZEIEN
Credential	:	M.A., CCC-SLP
Telephone Number	:	630-740-2148

Provider Enumeration Date	:	11/03/2025
Last Update Date	:	11/03/2025

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Directions to “SOCIALLY MINDED THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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