Individual provider Active NPI

Anayelit Alcaide, LSW

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1184487951
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.112901 Issued in IL
Practice address
4050 Healthway Dr
Aurora, IL 60504-8183
Phone
(815) 409-5117
NPI assigned
Feb 2, 2024
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 150.112901 IL Primary

Addresses

Primary practice location

4050 Healthway Dr
Aurora, IL 60504-8183

Mailing address

4050 Healthway Dr
Aurora, IL 60504-8183
Phone (815) 409-5117

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623004832 IL Practitioner - Clinical Social Worker 5991278798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15920 Lowe Ave
Harvey, IL 60426-5229

2259 W Taylor St
Chicago, IL 60612-4233

3456 SE Harold CT
Portland, OR 97202-4342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.112901ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blysss Behavioral Health, PLLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

9415 S Western Ave
Ste 206
Chicago, IL 60643
Phone (773) 301-8464

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1184487951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "815-409-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "815-409-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCAIDE",
        "first_name": "ANAYELIT",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.112901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.