Individual provider Active NPI

Sonia Serrano, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1255843835
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
710 S Paulina St Ste 438
Chicago, IL 60612-3808
Phone
(312) 563-4172
NPI assigned
Nov 3, 2017
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 NU Primary

Addresses

Primary practice location

710 S Paulina St Ste 438
Chicago, IL 60612-3808

Mailing address

2700 S Tripp Ave
Chicago, IL 60623-4356
Phone (773) 937-0391

Other practice location 1

715 Lake St Ste 800
Oak Park, IL 60301-1417
Phone (773) 312-3612

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
I20241016003168 IL Practitioner - Clinical Social Worker 9133651003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

710 S Paulina St
Suite 438
Chicago, IL 60612-3808
Phone (800) 757-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Aug 8, 2024 Accepting new patients
Rush University Medical Center CurrentSince Aug 8, 2024 Accepting new patients
Rush University Medical Center CurrentSince Aug 8, 2024 Accepting new patients
Rush University Medical Center CurrentSince Aug 8, 2024 Accepting new patients

Locations

1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

710 S Paulina St
Ste 438
Chicago, IL 60612
Phone (312) 563-2700

75 Remittance Dr
Dept 1611
Chicago, IL 60675

Organizations & group practices 4

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1255843835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S TRIPP AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234356",
            "telephone_number": "773-937-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S PAULINA ST STE 438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123808",
            "telephone_number": "312-563-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Lake St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011417",
            "country_code": "US",
            "telephone_number": "773-312-3612",
            "fax_number": "708-294-3699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "SONIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.