Individual provider Active NPI

Stephanie Sanchez, LCSW

  • Clinical Social Worker
  • Cary, IL
National Provider Identifier
1164083408
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021228 Issued in IL
Practice address
460 Ann St
Cary, IL 60013-1616
Phone
(224) 595-6238
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 149.021228 IL Primary

Addresses

Primary practice location

460 Ann St
Cary, IL 60013-1616

Mailing address

460 Ann St
Cary, IL 60013-1616
Phone (224) 595-6238

Other names 1

  • Stephanie Kyriakopoulos Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ssanchez@bltgpllc.com Brighter Life Therapy Group, PLLC

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

LicenseStateTypeSpecialty
149.021228ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Life Therapy Group, PLLC Clinical CurrentSince Dec 13, 2022 Accepting new patients

Locations

1145 Mitchell Ct
Ste 213
Crystal Lake, IL 60014

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1164083408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 ANN ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131616",
            "telephone_number": "224-595-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ANN ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131616",
            "telephone_number": "224-595-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-12-09",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ssanchez@bltgpllc.com",
            "affiliation": "Y",
            "endpointDescription": "HIPPA Compliant Gmail account",
            "affiliationName": "Brighter Life Therapy Group, PLLC",
            "address_1": "460 Ann St",
            "city": "Cary",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600131616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KYRIAKOPOULOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.