MIMI LANDAU INC NPI 1821545047

NPI Information

  • NPI: 1821545047
  • Provider Name: MIMI LANDAU, INC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 636 CHURCH ST
    SUITE 710
    EVANSTON, IL
    ZIP 60201
  • Phone: (773) 860-8114

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NPI Details

MIMI LANDAU, INC is a clinical social worker in Evanston, IL. The provider is 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. MIMI LANDAU, INC NPI is 1821545047. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

636 CHURCH ST
SUITE 710
EVANSTON, IL
ZIP 60201-508
Phone: (773) 860-8114
Fax: (847) 256-8146

The provider's authorized official is Miriam Clare Landau .
The authorized official title is President and has the following contact phone number (773) 860-8114.

The enumeration date for this NPI number is 9/6/2016 and was last updated on 9/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP1600XCounselorPastoralNo
3101YP2500XCounselorProfessionalNo
4103T00000XPsychologistNo
5103TC0700XPsychologistClinicalNo
6103TC2200XPsychologistClinical Child & AdolescentNo
7103TP2701XPsychologistGroup PsychotherapyNo
8106H00000XMarriage & Family TherapistNo
91041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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