Individual provider Active NPI

Gloria A Sanchez, LCSW

  • Clinical Social Worker
  • Villa Park, IL
National Provider Identifier
1437163102
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008971 Issued in IL
Practice address
1500 S Ardmore Ave Apt 212
Villa Park, IL 60181-4903
Phone
(630) 525-0113
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 149.008971 IL Primary

Addresses

Primary practice location

1500 S Ardmore Ave Apt 212
Villa Park, IL 60181-4903

Mailing address

1500 S Ardmore Ave Apt 212
Villa Park, IL 60181-4903
Phone (630) 525-0113

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
I20110510000835 IL Practitioner - Clinical Social Worker 3870779796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 S Ardmore Ave
Unit 212
Villa Park, IL 60181-4903
Phone (331) 472-0533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.008971ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Globird Counseling Center, PLLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
Centennial Counseling Center, PC PastSince Feb 1, 2007 Accepting new patients

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1437163102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S ARDMORE AVE APT 212",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601814903",
            "telephone_number": "630-525-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S ARDMORE AVE APT 212",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601814903",
            "telephone_number": "630-525-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "GLORIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

Verify at the official NPI Registry.