Individual provider Active NPI

Camila Richmond, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1730793597
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024272 Issued in IL
Practice address
1507 N Milwaukee Ave Unit 3
Chicago, IL 60622-2009
Phone
(312) 298-9060
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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 149024272 IL Primary

Addresses

Primary practice location

1507 N Milwaukee Ave Unit 3
Chicago, IL 60622-2009

Mailing address

1507 N Milwaukee Ave Unit 3
Chicago, IL 60622-2009
Phone (312) 298-9060

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
I20200909001335 IL Practitioner - Clinical Social Worker 6901224807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Integrated, LLC Professional CurrentSince Aug 5, 2020 Accepting new patients
Soma Counseling Center, PLLC Clinical CurrentSince May 1, 2022 Accepting new patients

Locations

1507 N Milwaukee Ave
Apt 3
Chicago, IL 60622
Phone (646) 276-4825

125 Windsor Dr
Ste 113
Oak Brook, IL 60523
Phone (630) 728-1744

414 Plaza Dr
Ste 301
Westmont, IL 60559
Phone (630) 728-1744

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1730793597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 N MILWAUKEE AVE UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222009",
            "telephone_number": "312-298-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N MILWAUKEE AVE UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222009",
            "telephone_number": "312-298-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "CAMILA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.