Lourdes Carvajal

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.041058 Issued in IL

Practice address

1066 W Granville Ave Unit 5
Chicago, IL 60660-2156

Phone

(773) 335-3509

Fax

(312) 489-8138

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• CG Therapies LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1649783689
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1396526273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 N MAGNOLIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 W GRANVILLE AVE UNIT 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602156",
            "telephone_number": "773-335-3509",
            "fax_number": "312-489-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "LOURDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.041058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wilson Caruso, MD
• Joseph Louis Caruso, DDS MS
• Nicholas Peter Caruso, DO
• Robert William Caruso, DMIN, MA, ALMFT
• Jennifer A Carvajal, APN
• Zinnia Carvajal, MA, ICDVP
• Alexandre Machado de Sant'Anna Carvalho, MD, MPH
• Carver Military Academy
• Leslee R Carver, RD, LDN
• Marisa Faith Carver, RDN

• 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 Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.