Active NPI
Xiomara Verenice Cervantes-Gomez
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1770467235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150.129112
- Practice address
- 1757 N Kimball Ave Ste 202
Chicago, IL 60647-4805 - Phone
- (773) 420-6137
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 150.129112 | IL | Primary |
Addresses
Primary practice location
1757 N Kimball Ave Ste 202
Chicago, IL 60647-4805
Mailing address
5136 S Blackstone Ave Apt 2F
Chicago, IL 60615-4132
Phone (773) 420-6137
Other names 1
- Xio Cervantes-Gomez
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.129112 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sithub Dba Chicago Therapy Collective | Clinical | Past | 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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1033569470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1770467235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5136 S BLACKSTONE AVE APT 2F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154132",
"telephone_number": "773-420-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 N KIMBALL AVE STE 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606474805",
"telephone_number": "773-420-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES-GOMEZ",
"first_name": "XIOMARA",
"middle_name": "VERENICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150.129112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "XIO",
"last_name": "CERVANTES-GOMEZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.