Daniela Chavez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.111864 Issued in IL

Practice address

4520 N Damen Ave Apt 3a
Chicago, IL 60625-1619

Phone

(773) 698-5482

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mirjam Quinn and Associates, LTD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1730577685

  Multi-Specialty

  NPD (past)
• Valentin Berman MD PC

  • Psychiatry Physician
  • Evergreen Park, IL
  • NPI 1821122029

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1790555159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 N DAMEN AVE APT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251619",
            "telephone_number": "773-698-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 N DAMEN AVE APT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251619",
            "telephone_number": "773-698-5482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 S Western Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606433225",
            "country_code": "US",
            "telephone_number": "708-586-7357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.111864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Chavez, MD
• Ariel Omar Chavez, PA-C
• Ashley Chavez
• Carlos Chavez, PTA
• Celena Marie Chavez, RN
• Diana Chavez, DO
• Erika Chavez, LCSW
• Janet Chavez
• Jaqueline Nicole Chavez
• Joann Chavez

• 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 Jan 8, 2024; 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.