Active NPI
Martin Cuevas
- Clinical Social Worker
- Lake in the Hills, IL
National Provider Identifier
1073104741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-20771
- Practice address
- 6 Turnberry CT
Lake in the Hills, IL 60156-6765 - Phone
- (718) 915-7878
- NPI assigned
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-20771 | AZ | Primary |
| Clinical Social Worker | 1041C0700X | 149022902 | IL |
Addresses
Primary practice location
6 Turnberry CT
Lake in the Hills, IL 60156-6765
Mailing address
6 Turnberry CT
Lake in the Hills, IL 60156-6765
Other practice location 1
4801 S Lakeshore Dr Ste 207
Tempe, AZ 85282-7157
Phone (855) 284-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-20771 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Counseling and Consulting | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
- NPI 1326414889
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1073104741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TURNBERRY CT",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TURNBERRY CT",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566765",
"telephone_number": "718-915-7878"
}
],
"practiceLocations": [
{
"address_1": "4801 S Lakeshore Dr Ste 207",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852827157",
"country_code": "US",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUEVAS",
"first_name": "MARTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-20771",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149022902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.