Individual provider Active NPI

Yvette Kyriak Lopez, IL

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1568353993
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029696 Issued in IL
Practice address
1112 N Spaulding Ave
2
Chicago, IL 60651-4154
Phone
(773) 977-8195
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.026969 IL
Clinical Social Worker 1041C0700X 149.029696 IL Primary

Addresses

Primary practice location

1112 N Spaulding Ave
2
Chicago, IL 60651-4154

Mailing address

1112 N Spaulding Ave
2
Chicago, IL 60651-4154
Phone (773) 977-8195

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
I20250821000094 IL Practitioner - Clinical Social Worker 9931609351 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
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

500 Asbury Ave
Evanston, IL 60202-2724
Phone (847) 316-3320

7433 N Clark St
Chicago, IL 60626-1619
Phone (773) 338-8778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026969ILMDClinical Social Worker
149.029696ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Cerebro Psychotherapy and Wellness Services, PLLC Current Accepting new patients

Locations

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

Organizations & group practices 2

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1568353993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N SPAULDING AVE",
            "address_2": "2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514154",
            "telephone_number": "773-977-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N SPAULDING AVE",
            "address_2": "2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514154",
            "telephone_number": "773-977-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAK LOPEZ",
        "first_name": "YVETTE",
        "credential": "IL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026969",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.