Individual provider Active NPI

Carlos Echevarria, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1215520044
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW027372 Issued in PA
Practice address
1401 S 31St St
Philadelphia, PA 19146-3506
Phone
(215) 755-7700
NPI assigned
Feb 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 226601 MA
Clinical Social Worker 1041C0700X 149.025480 IL
Clinical Social Worker 1041C0700X CW027372 PA Primary

Addresses

Primary practice location

1401 S 31St St
Philadelphia, PA 19146-3506

Mailing address

1400 S 31St St
Philadelphia, PA 19146-3402
Phone (215) 755-7700

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
I20230626001737 IL Practitioner - Clinical Social Worker 8022424175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare Community Health, Inc.Group PAC ID 6204722077, 41 clinicians

Practice addresses (Care Compare)

1127 N Oakley Blvd
FL 2
Chicago, IL 60622-3507
Phone (312) 491-5495

1431 N Western Ave
Chicago, IL 60622-7712

1431 N Western Ave
Suite 401
Chicago, IL 60622-1797
Phone (312) 491-5495

1431 N Western Ave
Suite 406
Chicago, IL 60622-1774
Phone (312) 491-5495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025480ILMDClinical Social Worker
226601MAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center Inc CurrentSince May 22, 2023 Accepting new patients
Primecare Community Health, Inc. Current Accepting new patients
Erie Family Health Center Inc CurrentSince May 22, 2023 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Primecare Community Health, Inc. CurrentSince Jun 28, 2023 Accepting new patients
Primecare Community Health Inc CurrentSince Jun 28, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 13, 2024 Accepting new patients
Primecare Community Health Inc. Past Accepting new patients

Locations

1127 N Oakley Blvd
Fl 2
Chicago, IL 60622
Phone (312) 633-5841

1504 S Albany Ave
Chicago, IL 60623

2418 W Division St
Chicago, IL 60622
Phone (312) 432-2621

1431 N Western Ave
Ste 202
Chicago, IL 60622
Phone (773) 276-2272

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

Interoperability endpoints

  • Direct secure messaging: cechevarria604205@direct.ochin.org
  • Direct secure messaging: carlos.echevarria.1@16494.direct.athenahealth.com

Organizations & group practices 8

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1215520044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463402",
            "telephone_number": "215-755-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "215-755-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "CARLOS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "226601",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025480",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.