Individual provider Active NPI

Grecia Lopez

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1518449792
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022726 Issued in IL
Practice address
4732 N Austin Ave Unit a
Chicago, IL 60630-3785
Phone
(847) 340-9908
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 149022726 IL Primary

Addresses

Primary practice location

4732 N Austin Ave Unit a
Chicago, IL 60630-3785

Mailing address

4732 N Austin Ave Unit a
Chicago, IL 60630-3785
Phone (847) 340-9908

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
I20210730002491 IL Practitioner - Clinical Social Worker 5597168369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erie Family Health Center, IncGroup PAC ID 9537050422, 141 clinicians

Practice addresses (Care Compare)

1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494

2750 W N Ave
Chicago, IL 60647-5247
Phone (312) 666-3494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center Inc CurrentSince Nov 5, 2021 Accepting new patients
Erie Family Health Center Inc CurrentSince Nov 5, 2021 Accepting new patients
New Insights Behavioral Health Services CurrentSince May 4, 2025 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Pilsen-Little Village Community Mental Health Center, Inc Past Accepting new patients

Locations

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1504 S Albany Ave
Chicago, IL 60623

Organizations & group practices 5

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1518449792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 N AUSTIN AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303785",
            "telephone_number": "847-340-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 N AUSTIN AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303785",
            "telephone_number": "847-340-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GRECIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.