Individual provider Active NPI

Christina Defilippis, LCSW

  • Clinical Social Worker
  • Niles, IL
National Provider Identifier
1427589613
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016919 Issued in IL
Practice address
8055 N Prospect St
Niles, IL 60714-2742
Phone
(847) 736-3881
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 149016919 IL Primary

Addresses

Primary practice location

8055 N Prospect St
Niles, IL 60714-2742

Mailing address

8055 N Prospect St
Niles, IL 60714-2742
Phone (847) 736-3881

Other names 1

  • Christina Abello Former name

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
I20221202001595 IL Practitioner - Clinical Social Worker 5496124091 Practice locations: Elmhurst, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Elmhurst, IL 60126
Phone (331) 899-1271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149016919ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CD Counseling LLC Clinical Current Accepting new patients

Organizations & group practices 1

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1427589613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 N PROSPECT ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142742",
            "telephone_number": "847-736-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 N PROSPECT ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142742",
            "telephone_number": "847-736-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPIS",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ABELLO",
            "credential": "PEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.