Active NPI
Guadalupe Arroyo, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1457946204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015045
- Practice address
- 5419 N. Sheridan Road
Suite 103-a
Chicago, IL 60640 - Phone
- (773) 490-7401
- NPI assigned
- Mar 3, 2021
- Last updated
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 149015045 | IL | Primary |
Addresses
Primary practice location
5419 N. Sheridan Road
Suite 103-a
Chicago, IL 60640
Mailing address
5419 N. Sheridan Road
Suite 103-a
Chicago, IL 60640
Other names 1
- Ms. Lupita Arroyo
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 |
|---|---|---|---|
| 149015045 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emdr Urban Healing Center LLC | Clinical | Current | Accepting new patients |
Locations
3257 N Sheffield Ave
Ste 110
Chicago, IL 60657
Phone (312) 248-1915
5419 N Sheridan Rd
Ste 103A
Chicago, IL 60640
Phone (312) 248-1915
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1457946204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 N. SHERIDAN ROAD",
"address_2": "SUITE 103-A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5419 N. SHERIDAN ROAD",
"address_2": "SUITE 103-A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-490-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARROYO",
"first_name": "GUADALUPE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUPITA",
"last_name": "ARROYO",
"prefix": "MS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.