Organization Active NPI

M. Olga Cisneros Bravo Psychotherapy, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1134084007
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
M. OLGA CISNEROS BRAVO PSYCHOTHERAPY, LLC
Practice address
1525 E 53Rd St Ste 437
Chicago, IL 60615-4575
Phone
(773) 362-5305
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Mariana Olga Cisneros, LCSWNPI 1801660964
Title
Therapist
Phone
(765) 427-9817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1525 E 53Rd St Ste 437
Chicago, IL 60615-4575

Mailing address

1525 E 53Rd St Ste 437
Chicago, IL 60615-4575
Phone (773) 361-5305

National Provider Directory

National Provider Directory

Locations

1525 E 53rd St
Ste 437
Chicago, IL 60615
Phone (773) 362-5305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1134084007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 437",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154575",
            "telephone_number": "773-361-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 437",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154575",
            "telephone_number": "773-362-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. OLGA CISNEROS BRAVO PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_middle_name": "OLGA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "765-427-9817",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Dec 22, 2025; 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.