Janet Marie Vidales, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021622 Issued in IL

Practice address

1310 Cambia Dr Apt 6209
Schaumburg, IL 60193-4610

Phone

(773) 800-0063

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thriving Minds Therapy, LLC

  • Mental Health Counselor
  • Schaumburg, IL
  • NPI 1083324800
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1013558196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 2807",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "773-800-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CAMBIA DR APT 6209",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601934610",
            "telephone_number": "773-800-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDALES",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indu Manju Vence, MD
• Stephanie Verhaeghe, APN, FNP-BC
• Ann Vetri
• Via Physical Therapy, P.C.
• Victoria Mashek, Inc.
• Village of Schaumburg
• Village of Schaumburg
• Village of Schaumburg Il
• Sandra Villamil
• Karina K Villanueva

• Clinical Social Worker in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.