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Active NPI 1013790708 Organization (Entity Type 2)

Game Plan Therapy, Llc

Social Worker - Clinical • Kankakee, IL

About Game Plan Therapy, Llc NPI 1013790708 Summary

Game Plan Therapy, Llc is a verified healthcare organization specializing in Social Worker - Clinical operating in Kankakee, IL. Located at 2212 W GRACE ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1013790708.

Administrative operations and authorized compliance are overseen by Suzette Jacob (Owner/Social Worker).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2212 W Grace St

Kankakee, IL 609014591

Telephone 8156625404

Authorized Official Information

Authorized Contact Name

Suzette Jacob , LCSW

Title / Role

Owner/social Worker

Official Telephone

8156625404

Facility Classifications & Specialties

Social Worker - Clinical Primary Taxonomy

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Social Worker - Clinical

Kankakee, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 16, 2023

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2023

Registered at 2212 W GRACE ST, KANKAKEE, IL 609014591 (Tel: 8156625404)

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Updated Business Mailing Address August 16, 2023

Registered at 2212 W GRACE ST, KANKAKEE, IL 609014591 (Tel: 8156625404)

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Organization / Clinic Name Updated August 16, 2023

Operating as GAME PLAN THERAPY, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2023

Social Worker

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Initial NPI Registration & Enumeration August 16, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1013790708
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 16, 2023
Last Update: August 16, 2023

Mailing Address

2212 W Grace St

Kankakee, IL 609014591

Phone: 8156625404

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.