Individual provider Active NPI

Stephanie Esther Cuevas, LCSW

  • Clinical Social Worker
  • Oswego, IL
National Provider Identifier
1831760545
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022547 Issued in IL
Practice address
113 Main St Ste 301
Oswego, IL 60543-1264
Phone
(630) 999-5235
NPI assigned
Jul 3, 2021
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 149.022547 IL Primary

Addresses

Primary practice location

113 Main St Ste 301
Oswego, IL 60543-1264

Mailing address

617 Vista Dr
Oswego, IL 60543-8129
Phone (630) 999-5235

Other practice location 1

2100 Manchester Rd Ste 501-1
Wheaton, IL 60187-4579
Phone (331) 716-2449

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
I20240821004655 IL Practitioner - Clinical Social Worker 5991244980 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022547ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Transitions Therapy PLLC Clinical CurrentSince Dec 31, 2023 Accepting new patients
Oswego Wellness, Inc CurrentSince May 16, 2024 Accepting new patients

Locations

64 Main St
Oswego, IL 60543
Phone (630) 519-1010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1831760545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 VISTA DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438129",
            "telephone_number": "630-999-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST STE 301",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605431264",
            "telephone_number": "630-999-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Manchester Rd Ste 501-1",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874579",
            "country_code": "US",
            "telephone_number": "331-716-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "STEPHANIE",
        "middle_name": "ESTHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.