Active NPI
Stephanie Marie Villarreal, MSW, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1558077453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.025234
- Practice address
- 4840 W Byron St
Chicago, IL 60641-2712 - Phone
- (773) 282-7800
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.025234 | IL | Primary |
Addresses
Primary practice location
4840 W Byron St
Chicago, IL 60641-2712
Mailing address
4840 W Byron St
Chicago, IL 60641-2712
Phone (773) 282-7800
Other practice location 1
2225 Oak Park Ave
Berwyn, IL 60402-2220
Phone (708) 772-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.025234 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Illinois | Clinical | Current | Accepting new patients |
| Lutheran Social Services of Illinois | Clinical | Current | Accepting new patients |
| Going Beyond Counseling Services | Past | Accepting new patients |
Locations
4840 W Byron St
Chicago, IL 60641
Phone (773) 282-7800
1001 E Touhy Ave
Ste 170
Des Plaines, IL 60018
Phone (847) 390-1422
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063637684
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1144613746
Clinical
-
- Counselor
- Berwyn, IL
- NPI 1427616341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1558077453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 W BYRON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412712",
"telephone_number": "773-282-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 W BYRON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412712",
"telephone_number": "773-282-7800"
}
],
"practiceLocations": [
{
"address_1": "2225 Oak Park Ave",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "604022220",
"country_code": "US",
"telephone_number": "708-772-1117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLARREAL",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-01-25",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.025234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.