Active NPI
Nicole Chirillo, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1164074035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149020560
- Practice address
- 661 W Lake St Ste 2S
Chicago, IL 60661-1034 - Phone
- (929) 457-0234
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149020560 | IL | Primary |
Addresses
Primary practice location
661 W Lake St Ste 2S
Chicago, IL 60661-1034
Mailing address
661 W Lake St Ste 2S
Chicago, IL 60661-1034
Phone (929) 457-0234
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149020560 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Chirillo, LCSW, LLC | Clinical | Current | Accepting new patients |
| Child Link Inc | Clinical | Past | Accepting new patients |
Locations
661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1932842036
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1689141590
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1164074035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 W LAKE ST STE 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611034",
"telephone_number": "929-457-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 W LAKE ST STE 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611034",
"telephone_number": "929-457-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIRILLO",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149020560",
"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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.