Active NPI
Ana Fajardo, LCSW
- Clinical Social Worker
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149025776
- Practice address
- 440 W Boughton Rd Ste 104
Bolingbrook, IL 60440-1406 - Phone
- (815) 295-5470
- NPI assigned
- Nov 14, 2019
- Last updated
- Mar 26, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 149025776 | IL | Primary |
Addresses
Primary practice location
440 W Boughton Rd Ste 104
Bolingbrook, IL 60440-1406
Mailing address
619 Belmont Ave
Oswego, IL 60543-7729
Phone (815) 216-7016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
440 W Boughton Rd
Suite 104
Bolingbrook, IL 60440-1406
Phone (815) 295-5470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149025776 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essentially You Counseling and Wellness Services, LLC | Current | Accepting new patients |
Locations
125 Fairfield Way
Ste 380
Bloomingdale, IL 60108
Phone (815) 219-3193
255 E Lake St
Ste 200
Bloomingdale, IL 60108
Phone (815) 295-5470
440 W Boughton Rd
Ste 104
Bolingbrook, IL 60440
Phone (331) 318-8181
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Bloomingdale, IL
- NPI 1851802896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1184269029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 BELMONT AVE",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437729",
"telephone_number": "815-216-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W BOUGHTON RD STE 104",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401406",
"telephone_number": "815-295-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJARDO",
"first_name": "ANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149025776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
- Express Care Enterprises
- Eyezone Eyecare, Inc.
- Joseph Donayre Fadullon, PHYSICAL THERAPIST
- Canan Fairhurst
- Fairhurstcare LLC (Senior Helpers of Bolingbrook)
- Family Doctor Now PLLC
- Family Eye Care of Bolingbrook LTD
- Family Foot and Ankle Care, P.C.
- Family Medical Center of Bolingbrook SC
- Nathan Joseph Fanter, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.