Christine Hilary Vacin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015039 Issued in IL

Practice address

458 W Eugenie St
Chicago, IL 60614-5654

Phone

(312) 972-0910

NPI assigned

Feb 7, 2013

Last updated

Sep 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 21, 2024 through Feb 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• TRD Holdings, Inc.

  dba F.I.T. Fitness Integrative Therapy

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1932657418
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1285973412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W EUGENIE ST",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145808",
            "telephone_number": "312-972-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 W EUGENIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145654",
            "telephone_number": "312-972-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACIN",
        "first_name": "CHRISTINE",
        "middle_name": "HILARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anissa Vachachira, APRN
• Allison Jaffe Vachon, MD
• Gregory C. Vachon, M.D.
• Henry Vachon
• Kimberly Vachon, LCPC
• Tom Paul Vadakara, MD
• Brian Kenneth Vadasz, MD MSC
• Julie Vadboncoeur, M.D.
• Tim Vadeboncouer, M.D.
• Pratik Sai Vadlamudi, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.