Individual provider Active NPI

Amanda Zoloto

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1245064047
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149030537 Issued in IL
Practice address
1509 W Berwyn Ave Ste 202
Chicago, IL 60640-8168
Phone
(773) 234-3212
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 149030537 IL Primary

Addresses

Primary practice location

1509 W Berwyn Ave Ste 202
Chicago, IL 60640-8168

Mailing address

800 N Elmwood Ave
Oak Park, IL 60302-1437

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
I20260127000663 IL Practitioner - Clinical Social Worker 8820575327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Brianna Sorensen LCSW PCGroup PAC ID 5092092270, 5 clinicians

Practice addresses (Care Compare)

4247 N Damen Ave
Suite 1
Chicago, IL 60618-3011
Phone (630) 740-3180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149030537ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brianna Sorensen, LCSW, PC Clinical CurrentSince Dec 11, 2025 Accepting new patients

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1245064047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N ELMWOOD AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W BERWYN AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408168",
            "telephone_number": "773-234-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLOTO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149030537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.