Active NPI
Candice Love
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1013475581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1136 S Delano CT W Ste B201
Chicago, IL 60605-3734 - Phone
- (773) 892-2353
- NPI assigned
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1136 S Delano CT W Ste B201
Chicago, IL 60605-3734
Mailing address
1136 S Delano CT W Ste B201
Chicago, IL 60605-3734
Phone (312) 667-3884
Other practice location 1
5901 W Andover Dr
Hanover Park, IL 60133-5242
Phone (773) 892-2353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Roamers Therapy LLC | Clinical | Past | Accepting new patients |
Locations
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
152 W Lincoln Hwy
Chicago Hts, IL 60411
Phone (708) 754-9687
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IL HMO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL PPO Downstate
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Clinical Social Worker
- Chicago, IL
- NPI 1861056244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1013475581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 S DELANO CT W STE B201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053734",
"telephone_number": "312-667-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 S DELANO CT W STE B201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053734",
"telephone_number": "773-892-2353"
}
],
"practiceLocations": [
{
"address_1": "5901 W Andover Dr",
"address_purpose": "LOCATION",
"city": "Hanover Park",
"state": "IL",
"postal_code": "601335242",
"country_code": "US",
"telephone_number": "773-892-2353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "CANDICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.