Individual provider Active NPI

Yaritza Vidaurre, MSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1235853656
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150117856 Issued in IL
Practice address
2010 N Damen Ave Unit F
Chicago, IL 60647-3286
Phone
(773) 887-6447
Fax
(888) 974-5901
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 150117856 IL Primary

Addresses

Primary practice location

2010 N Damen Ave Unit F
Chicago, IL 60647-3286

Mailing address

2150 W Lawrence Ave Ste a
Chicago, IL 60625-1582
Phone (773) 887-6447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150117856ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transcend Counseling Chicago, LLC CurrentSince Jul 1, 2025 Accepting new patients
Omni Youth Services PastSince Oct 1, 2022 Accepting new patients
Omni Youth Services PastSince Oct 1, 2022 Accepting new patients

Locations

2150 W Lawrence Ave
Ste A
Chicago, IL 60625
Phone (773) 887-6447

2010 N Damen Ave
Unit F
Chicago, IL 60647
Phone (708) 692-1696

Organizations & group practices 3

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1235853656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W LAWRENCE AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251582",
            "telephone_number": "773-887-6447",
            "fax_number": "888-974-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N DAMEN AVE UNIT F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473286",
            "telephone_number": "773-887-6447",
            "fax_number": "888-974-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAURRE",
        "first_name": "YARITZA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150117856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.