Individual provider Active NPI

Catherine D Obordo, LCSW, CADC

  • Clinical Social Worker
  • Yorkville, IL
National Provider Identifier
1639675283
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019949 Issued in IL
Practice address
654 W Veterans Pkwy Ste B
Yorkville, IL 60560-2510
Phone
(630) 553-9686
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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 149.019949 IL Primary

Addresses

Primary practice location

654 W Veterans Pkwy Ste B
Yorkville, IL 60560-2510

Mailing address

3041 Solitude LN
Aurora, IL 60502-8643
Phone (630) 803-4563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.019949ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joi Counseling Center PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1639675283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 SOLITUDE LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028643",
            "telephone_number": "630-803-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W VETERANS PKWY STE B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602510",
            "telephone_number": "630-553-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBORDO",
        "first_name": "CATHERINE",
        "middle_name": "D",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.