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NPI Code Detail

MEDICARE: CATALYST CLINICAL GROUP, INC

MEDICARE: CATALYST CLINICAL GROUP, INC
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
1104100000XSocial Worker150.015780IL
21041C0700XClinical Social Worker149.015898IL

General Provider Information

NPI Number : 1316397979
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATALYST CLINICAL GROUP, INC
Provider Business Mailing Address
First Line : 4433 N RAVENSWOOD AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60640-7755
Country : US
Telephone Number : 312-834-5487
Fax Number : 872-315-3138
Provider Business Practice Location Address
First Line : 4433 N RAVENSWOOD AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60640-7755
Country : US
Telephone Number : 312-834-5487
Fax Number : 872-315-3138
Authorized Official
Title or Position : CHIEF CLINICAL OFFICER
Name : LUCAS BYRON SWENINK
Credential : LCSW
Telephone Number : 312-834-5487
Provider Enumeration Date : 06/14/2016
Last Update Date : 03/03/2026

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Directions to “CATALYST CLINICAL GROUP, INC ” Practice Location

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