Individual provider Active NPI

Elliana Castro, LSW

  • Social Worker
  • Park Ridge, IL
National Provider Identifier
1235015033
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150117586 Issued in IL
Practice address
1580 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1470
Phone
(847) 220-4977
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150117586 IL Primary

Addresses

Primary practice location

1580 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1470

Mailing address

1580 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1470

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
I20260302001225 IL Practitioner - Clinical Social Worker 7810479797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1580 N Northwest Hwy
Suite 120
Park Ridge, IL 60068-1470

1580 N Northwest Hwy 120
Park Ridge, IL 60068-1470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150117586ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bellosa Counseling, LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

1580 N Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 220-4977

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1235015033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 120",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 120",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681470",
            "telephone_number": "847-220-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ELLIANA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150117586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.