Individual provider Active NPI

Yesenia Fabiola Garcia, LCSW

  • Clinical Social Worker
  • Orland Park, IL
National Provider Identifier
1477325629
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025818 Issued in IL
Practice address
9501 W 144TH PL Ste 304
Orland Park, IL 60462-2564
Phone
(708) 628-8000
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 149.025818 IL Primary

Addresses

Primary practice location

9501 W 144TH PL Ste 304
Orland Park, IL 60462-2564

Mailing address

12824 S Kenneth Ave Apt F6
Alsip, IL 60803-2891
Phone (773) 290-4327

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
I20231116000376 IL Practitioner - Clinical Social Worker 6507213386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Counseling and Wellness LLCGroup PAC ID 1355728353, 29 clinicians

Practice addresses (Care Compare)

9501 W 144TH PL
Suite 304
Orland Park, IL 60462-2564
Phone (708) 628-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025818ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Counseling and Wellness LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

215 Harrison St
Oak Park, IL 60304
Phone (708) 628-8000

9501 W 144th Pl
Ste 304
Orland Park, IL 60462
Phone (708) 628-8000

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1477325629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12824 S KENNETH AVE APT F6",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608032891",
            "telephone_number": "773-290-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 W 144TH PL STE 304",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622564",
            "telephone_number": "708-628-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "YESENIA",
        "middle_name": "FABIOLA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.