Active NPI
Carlos Robles
- Clinical Social Worker
- Woodridge, IL
National Provider Identifier
1790345445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150101918
- Practice address
- 3590 Hobson Rd Ste 401
Woodridge, IL 60517-1492 - Phone
- (630) 968-0792
- Fax
- (630) 477-0201
- NPI assigned
- Jun 15, 2019
- Sex
- Male
- 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 | 150101918 | IL | Primary |
Addresses
Primary practice location
3590 Hobson Rd Ste 401
Woodridge, IL 60517-1492
Mailing address
3590 Hobson Rd Ste 401
Woodridge, IL 60517-1492
Phone (630) 968-0792
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 |
|---|---|---|---|
| 150101918 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer E. Manfre, LTD | 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 Psychologist
- Woodridge, IL
- NPI 1447793591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560556800000",
"number": "1790345445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 HOBSON RD STE 401",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171492",
"telephone_number": "630-968-0792",
"fax_number": "630-477-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 HOBSON RD STE 401",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171492",
"telephone_number": "630-968-0792",
"fax_number": "630-477-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-15",
"last_updated": "2019-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150101918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.