Healthcare Provider Details
I. General information
NPI: 1821673237
Provider Name (Legal Business Name): PATCHWORK THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2021
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
579 W NORTH AVE STE 206
ELMHURST IL
60126-2144
US
IV. Provider business mailing address
354 N ELM AVE
ELMHURST IL
60126-2361
US
V. Phone/Fax
- Phone: 630-384-9499
- Fax:
- Phone: 630-384-9499
- Fax: 630-324-4606
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREA
H
HOHF
Title or Position: OWNER
Credential: MSCD, LCSW
Phone: 630-384-9499