Theresa Cabanas, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015779 Issued in IL

Practice address

2528 N Lincoln Ave
Suite 116
Chicago, IL 60614-2333

Phone

(773) 987-8165

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1720239205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 W 64TH PL",
            "address_2": "UNIT 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385336",
            "telephone_number": "773-987-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 N LINCOLN AVE",
            "address_2": "SUITE 116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142333",
            "telephone_number": "773-987-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANAS",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Cabai, DPM
• Laura Cecilia Caballero
• Martia Caballero, RN
• Abegail Pena Cabalona, MD
• Noel Cabanas
• Marc D Cabanban, DPT, PT
• Christabelle Andrea B Cabanilla, M.D.
• Paul Cabanilla, M.D.
• Camille Cabas, PHARMD
• Jan Kirsten Kagahastian Cabatu

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.

Verify at the official NPI Registry.