Individual provider Active NPI

Tiffany Chin, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1902475726
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024499 Issued in IL
Practice address
155 N Michigan Ave Ste 707
Chicago, IL 60601-7706
Phone
(312) 819-7381
NPI assigned
Jun 24, 2021
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW116879 CA
Clinical Social Worker 1041C0700X 149.024499 IL Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 707
Chicago, IL 60601-7706

Mailing address

155 N Michigan Ave Ste 707
Chicago, IL 60601-7706
Phone (312) 819-7381

Other practice location 1

1811 W North Ave Ste 402
Chicago, IL 60622-0204
Phone (312) 819-7381

Other practice location 2

3047 N Lincoln Ave
Chicago, IL 60657-4999
Phone (312) 819-7381

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
I20251021003315 IL Practitioner - Clinical Social Worker 7416445507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 N Michigan Ave
Suite 201
Chicago, IL 60601-7940

205 W 24TH PL
Chicago, IL 60616-2227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.104991ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Therapy Chicago, PLLC CurrentSince Oct 9, 2025 Accepting new patients

Locations

1811 W North Ave
Ste 402
Chicago, IL 60622
Phone (312) 561-4393

3047 N Lincoln Ave
Chicago, IL 60657
Phone (312) 819-7381

155 N Michigan Ave
Ste 201
Chicago, IL 60601
Phone (312) 219-6335

Organizations & group practices 1

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1902475726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017706",
            "telephone_number": "312-819-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017706",
            "telephone_number": "312-819-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 W North Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606220204",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3047 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574999",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW116879",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.