Individual provider Active NPI

Aidarina Basarudin-Pigott, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1922443472
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014315 Issued in IL
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

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 9133484694, 26 clinicians

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

LicenseStateTypeSpecialty
149014315ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto Minzer and Associates LLC CurrentSince Feb 1, 2024 Accepting new patients
Three Point Healthcare LLC Clinical CurrentSince Oct 1, 2020 Accepting new patients
Servant of Peace LLC Clinical CurrentSince Jan 1, 2026 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

Verify at the official NPI Registry.