Active NPI
Aidarina Basarudin-Pigott, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014315
- Practice address
- 10725 S Western Ave
2ND Floor
Chicago, IL 60643-3135 - Phone
- (773) 332-6664
- NPI assigned
- May 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 149014315 | IL | Primary |
Addresses
Primary practice location
10725 S Western Ave
2ND Floor
Chicago, IL 60643-3135
Mailing address
10725 S Western Ave
2ND Floor
Chicago, IL 60643-3135
Phone (773) 332-6664
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130717000541 | IL | Practitioner - Clinical Social Worker | 1951541812 |
Reassigns benefits to 3 organizations Practice locations: Evergreen Park, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Three Point Healthcare LLC
Practice addresses (Care Compare)
19805 S la Grange Rd
Mokena, IL 60448-8348
Phone (708) 938-3378
9730 S Western Ave
Suite 306
Evergreen Park, IL 60805-2766
Phone (773) 332-6664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149014315 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alberto Minzer and Associates LLC | Current | Accepting new patients | |
| Three Point Healthcare LLC | Clinical | Current | Accepting new patients |
| Servant of Peace LLC | Clinical | Current | Accepting new patients |
Locations
9730 S Western Ave
Ste 306
Evergreen Pk, IL 60805
Phone (773) 332-6664
19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1922443472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10725 S WESTERN AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606433135",
"telephone_number": "773-332-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10725 S WESTERN AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606433135",
"telephone_number": "773-332-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASARUDIN-PIGOTT",
"first_name": "AIDARINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014315",
"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 19, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.