Active NPI
Joseph Samuel Tellez, MSW.LSW
- Social Worker
- Round Lake Beach, IL
National Provider Identifier
1164334215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.129795
- Practice address
- 1501 Kildeer Dr
Round Lake Beach, IL 60073-1528 - Phone
- (224) 715-5418
- NPI assigned
- Sep 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.129795 | IL | Primary |
Addresses
Primary practice location
1501 Kildeer Dr
Round Lake Beach, IL 60073-1528
Mailing address
1501 Kildeer Dr
Round Lake Beach, IL 60073-1528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1164334215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KILDEER DR",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600731528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KILDEER DR",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600731528",
"telephone_number": "224-715-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "JOSEPH",
"middle_name": "SAMUEL",
"credential": "MSW.LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.129795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Lake Beach, IL
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- Gina Tinsley, PTA
- Carlos M Tirado Molano, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.