Active NPI
Luis Gerardo Salas, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1861161002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149024758
- Practice address
- 111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074 - Phone
- (312) 436-1657
- NPI assigned
- Sep 10, 2021
- 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 | 149024758 | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074
Mailing address
111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074
Phone (312) 436-1657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola Medical Group LLC | Current | Accepting new patients | |
| David Hoover, PSYD, PC | Current | Accepting new patients | |
| Crystal F. Clair, Inc. | Mental Health | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430
111 N Wabash Ave
Ste 1400
Chicago, IL 60602
Phone (312) 436-1657
Organizations & group practices 3
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
- Chicago, IL
- NPI 1619217064
-
- General Practice Physician
- Berwyn, IL
- NPI 1376041954
-
- Mental Health Counselor
- Port Townsend, WA
- NPI 1659775484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1861161002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE STE 1400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023074",
"telephone_number": "312-436-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE STE 1400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023074",
"telephone_number": "312-436-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "LUIS",
"middle_name": "GERARDO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-10",
"last_updated": "2023-05-23",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149024758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.