Individual provider Active NPI

Daniela Michelle Vidal, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1023622784
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022481 Issued in IL
Practice address
332 S Michigan Ave
Suite 121 #5125
Chicago, IL 60604-4302
Phone
(312) 308-0218
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022481 IL Primary

Addresses

Primary practice location

332 S Michigan Ave
Suite 121 #5125
Chicago, IL 60604-4302

Mailing address

332 S Michigan Ave
Suite 121 #5125
Chicago, IL 60604-4302
Phone (312) 308-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 21, 2026 through May 21, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

618 Library PL
Evanston, IL 60201-2908

618 Library Place
Evanston, IL 60201-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022481ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vidal Therapy PLLC Clinical Current Accepting new patients
The Family Institute Clinical CurrentSince Feb 21, 2024 Accepting new patients

Locations

618 Library Pl
Evanston, IL 60201
Phone (312) 609-5300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1023622784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE",
            "address_2": "SUITE 121 #5125",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044302",
            "telephone_number": "312-308-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE",
            "address_2": "SUITE 121 #5125",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044302",
            "telephone_number": "312-308-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "DANIELA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.