Active NPI
Carrie Ann Estrada, LCSW
- Clinical Social Worker
- Streamwood, IL
National Provider Identifier
1376675215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.013330
- Practice address
- 1535 Burgundy Pkwy
Streamwood, IL 60107 - Phone
- (630) 518-6732
- NPI assigned
- Mar 9, 2007
- Last updated
- Nov 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.013330 | IL | Primary |
Addresses
Primary practice location
1535 Burgundy Pkwy
Streamwood, IL 60107
Mailing address
1535 Burgundy Pkwy
Streamwood, IL 60107-1811
Phone (630) 518-6732
Other practice location 1
920 E Broadway
Glendale, CA 91205-1204
Phone (818) 242-8403 ext. 245
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.013330 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1376675215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 BURGUNDY PKWY",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601071811",
"telephone_number": "630-518-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 BURGUNDY PKWY",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "60107",
"telephone_number": "630-518-6732"
}
],
"practiceLocations": [
{
"address_1": "920 E Broadway",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912051204",
"country_code": "US",
"telephone_number": "818-242-8403 x245",
"fax_number": "818-242-3187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTRADA",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.013330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.