Andrew D Castillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020181 Issued in IL

Practice address

2259 S Damen Ave
Chicago, IL 60608-4232

Phone

(872) 281-7575

Fax

(773) 801-0084

NPI assigned

Jun 11, 2018

Sex

Male

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

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Symmetry Counseling, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1679865075
  Medicare reassignment NPD

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1881187185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 S NATCHEZ AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381325",
            "telephone_number": "773-304-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084232",
            "telephone_number": "872-281-7575",
            "fax_number": "773-801-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabella Castillo-Juat, M.D.
• Samantha Reyna Castillo-Mallory, DO
• Adrienne Castillo, APRN
• Alexa Castillo, M.ED
• Almanely Castillo
• Cristina Lacsina Castillo, PT, CKTP
• Dallas Castillo, MS, OTR/L
• Daryl R Castillo, RN
• Diana Castillo, LCSW
• Frank Michael Castillo, MD, FAAFP

• 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 Jun 11, 2018; 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.

Verify at the official NPI Registry.