Individual provider Active NPI

Angele Villalobos

  • Clinical Social Worker
  • Dekalb, IL
National Provider Identifier
1497150908
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1500 E Lincoln Hwy # 1
Dekalb, IL 60115-3990
Phone
(779) 201-8006
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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 Primary

Addresses

Primary practice location

1500 E Lincoln Hwy # 1
Dekalb, IL 60115-3990

Mailing address

1090 Pickwick Dr
Rochelle, IL 61068-1098
Phone (815) 517-8386

Other practice location 1

604 N Main St
Rochelle, IL 61068-1686
Phone (815) 501-2088

Other practice location 2

555 Fairview Dr
Rochelle, IL 61068-2310
Phone (815) 561-9001

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
I20230209001332 IL Practitioner - Clinical Social Worker 7214309798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Changes Counseling, LLCGroup PAC ID 9032531769, 3 clinicians

Practice addresses (Care Compare)

604 N Main St
Suite 4
Rochelle, IL 61068-1686
Phone (815) 501-2088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sinnissippi Centers, Inc. CurrentSince Jan 26, 2023 Accepting new patients
Changes Counseling, LLC Mental Health CurrentSince Jul 25, 2024 Accepting new patients
Sinnissippi Centers, Inc. CurrentSince Jan 26, 2023 Accepting new patients

Locations

Rte 2 325 Illinois
Dixon, IL 61021

325 Il Route 2
Dixon, IL 61021
Phone (815) 288-6611

121 S 4th St
Oregon, IL 61061
Phone (815) 501-2088

604 N Main St
Ste 4
Rochelle, IL 61068
Phone (815) 501-2088

1321 N 7th St
Rochelle, IL 61068
Phone (815) 562-3801

604 N Main St
Rochelle, IL 61068
Phone (815) 501-2088

Organizations & group practices 3

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1497150908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 PICKWICK DR",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681098",
            "telephone_number": "815-517-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY # 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "779-201-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 N Main St",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610681686",
            "country_code": "US",
            "telephone_number": "815-501-2088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Fairview Dr",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610682310",
            "country_code": "US",
            "telephone_number": "815-561-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "ANGELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.