Carlos F Anchondo, LCSW
Individual provider Active NPI Clinical Social Worker · Hines, IL
NPI 1477596005 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477596005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 5TH Ave and Roosevelt Rd
Hines, IL 60141-0122 - Phone
- (708) 202-7991
- Fax
- (708) 202-4954
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149009936 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Yes |
Addresses
Primary practice location
5TH Ave and Roosevelt Rd
Hines, IL 60141-0122
Mailing address
PO Box 629
Hines, IL 60141-0629
Phone (708) 202-7991
Other providers in Hines, IL
- Maria Lourdes Ramos Alegria
- Syed M Ali
- Danielle Alsip
- Kathleen Marie Ambrose
- Vanessa Amelio-Hering
- Michael Paul Anderer
- Mara Jill Andersen
- Andrea Lorry Andrlik
- Tomasz P Andrusyna
- John A Antoine
All providers in Hines, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.