Carlos P Cantu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1467799908 Issued in IL

Practice address

3934 W 26TH St Ste 204
Chicago, IL 60623-3743

Phone

(773) 707-9775

Fax

(312) 957-6252

NPI assigned

Jan 3, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9265/brand/1/csg/1/fhir/r4
• Direct secure messaging: carlos.cantu.1@9265.direct.athenahealth.com

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.

• Comprehensive Clinical Services PC

  • Psychiatry Physician
  • Lombard, IL
  • NPI 1942484522
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1467799908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 S LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234549",
            "telephone_number": "773-707-9775",
            "fax_number": "312-957-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 W 26TH ST STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233743",
            "telephone_number": "773-707-9775",
            "fax_number": "312-957-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3017 S Lawndale Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606234549",
            "country_code": "US",
            "telephone_number": "773-707-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1044 N Mozart St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606223644",
            "country_code": "US",
            "telephone_number": "773-292-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "CARLOS",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015533",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "1467799908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NO.",
            "identifier": "149.015533",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Cantor
• Donald Robinson Cantrell, M.D., PH.D.
• Tykia Cantrell
• Ambar Josefina Cantu, FNP-BC
• Brooke Lynn Cantu, APRN
• Celina Cantu, LCSW
• Melissa Cantu, FNP-C
• Thomasina Canty, P.T.
• Paul Aaron Cantz, PSY.D., ABPP
• Sofia Isabel Canuelas del Valle

• 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 Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.