Active NPI
Patricia Mary Pangilinan, MSW, LCSW
- Social Worker
- Lombard, IL
National Provider Identifier
1841878618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149.013041
- Practice address
- 477 E Butterfield Rd Ste 310
Lombard, IL 60148-4880 - Phone
- (331) 551-9140
- NPI assigned
- Mar 31, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 149.013041 | IL | Primary |
Addresses
Primary practice location
477 E Butterfield Rd Ste 310
Lombard, IL 60148-4880
Mailing address
215 S Martha St
Lombard, IL 60148-2615
Phone (630) 421-0529
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 |
|---|---|---|---|
| 149.013041 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1841878618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S MARTHA ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482615",
"telephone_number": "630-421-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 E BUTTERFIELD RD STE 310",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484880",
"telephone_number": "331-551-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGILINAN",
"first_name": "PATRICIA",
"middle_name": "MARY",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149.013041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.