Individual provider Active NPI

Brandie Ciota, LSW

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1265182760
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025683 Issued in IL
Practice address
201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Phone
(217) 722-9079
Fax
(217) 501-4322
NPI assigned
Mar 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150105977 IL
Clinical Social Worker 1041C0700X 149.025683 IL Primary

Addresses

Primary practice location

201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385

Mailing address

201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Phone (217) 722-9079

Other practice location 1

1002 Commercial Dr Ste 2
Mahomet, IL 61853-8538
Phone (217) 722-9079

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
I20240301003360 IL Practitioner - Clinical Social Worker 9638514474 Reassigns benefits to 1 organization

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
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

450 E Fulton St
Paxton, IL 60957-1716
Phone (217) 379-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150105977ILMDSocial Worker
149.025683ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Feb 1, 2024 Accepting new patients
McNicholl Counseling, P.C. Clinical CurrentSince Jan 19, 2025 Accepting new patients
Empowering Souls Therapy PLLC Current Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1001 E Pells St
Paxton, IL 60957
Phone (217) 379-4361

3450 Oakton St
Ste 300
Skokie, IL 60076

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": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1265182760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1201",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206385",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1201",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206385",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Commercial Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mahomet",
            "state": "IL",
            "postal_code": "618538538",
            "country_code": "US",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIOTA",
        "first_name": "BRANDIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150105977",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.