Individual provider Active NPI

Lourdes M Estrada, LSW

  • Social Worker
  • Lombard, IL
National Provider Identifier
1912694415
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.109361 Issued in IL
Practice address
477 E Butterfield Rd Ste 408
Lombard, IL 60148-4881
Phone
(630) 690-9094
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.109361 IL Primary

Addresses

Primary practice location

477 E Butterfield Rd Ste 408
Lombard, IL 60148-4881

Mailing address

223 Birch LN
Saint Charles, IL 60175-1019
Phone (630) 272-9056

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

LicenseStateTypeSpecialty
150.109361ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Responders Wellness Center, PLLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

100 Tri State Intl
Ste 260
Lincolnshire, IL 60069

477 E Butterfield Rd
Ste 408
Lombard, IL 60148
Phone (630) 339-5300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1912694415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BIRCH LN",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751019",
            "telephone_number": "630-272-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 408",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484881",
            "telephone_number": "630-690-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "LOURDES",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.109361",
            "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 Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.