Individual provider Active NPI

Xiomara Verenice Cervantes-Gomez

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1770467235
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.129112 Issued in IL
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

Updated by the provider on Jun 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 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 Other name

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
150.129112ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sithub Dba Chicago Therapy Collective Clinical PastSince Aug 10, 2025 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": "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.

Verify at the official NPI Registry.