Organization Active NPI

Vibewell Chicago PLLC

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1619782604
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIBEWELL CHICAGO PLLC
Practice address
687 E Chicago St
Elgin, IL 60120-5762
Phone
(312) 312-8939
NPI assigned
Feb 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Authorized official

Name
Raquel Segovia-Ramirez, LCSW
Title
Owner/Manager
Phone
(312) 312-8939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

687 E Chicago St
Elgin, IL 60120-5762

Mailing address

687 E Chicago St
Elgin, IL 60120-5762
Phone (312) 312-8939

National Provider Directory

National Provider Directory

Locations

687 E Chicago St
Elgin, IL 60120
Phone (312) 312-8939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738972800000",
    "number": "1619782604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 E CHICAGO ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205762",
            "telephone_number": "312-312-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 E CHICAGO ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205762",
            "telephone_number": "312-312-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBEWELL CHICAGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "SEGOVIA-RAMIREZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "312-312-8939",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.