Individual provider Active NPI

Theonita Wright

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1497531891
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.108010 Issued in IL
Practice address
1448 N Milwaukee Ave Ste 201
Chicago, IL 60622-6412
Phone
(312) 476-9064
NPI assigned
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 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 150.108010 IL Primary

Addresses

Primary practice location

1448 N Milwaukee Ave Ste 201
Chicago, IL 60622-6412

Mailing address

PO Box 752123
Houston, TX 77275-2123
Phone (312) 476-9064

Other practice location 1

345 W North Ave
Chicago, IL 60610-1237
Phone (312) 476-9064

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
I20241224001024 IL Practitioner - Clinical Social Worker 0446787824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

7750 S S Shore Dr
Chicago, IL 60649-4434
Phone (773) 731-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.108010ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willis Healthcare Inc CurrentSince Sep 5, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Dec 1, 2024 Accepting new patients
Enlightened Words Past Accepting new patients

Locations

1448 N Milwaukee Ave
Ste 201
Chicago, IL 60622
Phone (630) 481-6463

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7750 S South Shore Dr
Chicago, IL 60649
Phone (773) 731-4200

3450 Oakton St
Ste 300
Skokie, IL 60076

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, 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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1497531891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752123",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772752123",
            "telephone_number": "312-476-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226412",
            "telephone_number": "312-476-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101237",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "THEONITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.108010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.