Priscilla Anzaldua, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013910 Issued in IL

Practice address

3166 N Lincoln Ave Ste 306
Chicago, IL 60657-3119

Phone

(312) 834-4850

NPI assigned

Jul 13, 2014

Sex

Female

Sole proprietor

No

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: Yes
• 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

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IL

  Medicare reassignment NPD
• Prism Counseling PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1407314479
  NPD Authorized official

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1912314816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "312-834-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "312-834-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALDUA",
        "first_name": "PRISCILLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Anyadike, M.D.
• Janice Anyanwu, MD
• Anna Chinyere Anyaso
• Reem Issa Ibrahim Anz, MD
• Lavinia Anzai, M.D.
• Richard Anzalone, PHARMD
• Stephanie Anzelc
• Joan Anzia, MD
• Lizandra Anzo, PA
• Ao Psychological Services LLC

• 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 Dec 23, 2022; 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.