Individual provider Active NPI

Melissa Barrios, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1053971093
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021214 Issued in IL
Practice address
1 E Erie St Ste 525-4982
Chicago, IL 60611-2740
Phone
(773) 280-7798
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 149021214 IL Primary

Addresses

Primary practice location

1 E Erie St Ste 525-4982
Chicago, IL 60611-2740

Mailing address

708 W Bittersweet PL Apt 311
Chicago, IL 60613-2391
Phone (630) 701-0737

Other practice location 1

6601 N Avondale Ave Ste 101
Chicago, IL 60631-1567
Phone (773) 774-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 9, 2019 through Oct 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149021214ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Without Limits PLLC CurrentSince Jul 25, 2021 Accepting new patients
Urban Wellness, LTD. Clinical PastSince Nov 8, 2017 Accepting new patients

Locations

1 E Erie St
Ste 5254982
Chicago, IL 60611
Phone (773) 280-7798

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1053971093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W BITTERSWEET PL APT 311",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132391",
            "telephone_number": "630-701-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525-4982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740",
            "telephone_number": "773-280-7798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 N Avondale Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606311567",
            "country_code": "US",
            "telephone_number": "773-774-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRIOS",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.