Individual provider Active NPI

Celeste Richards Bonanno, MSW, LSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1942740055
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021781 Issued in IL
Practice address
4433 N Ravenswood Ave Ste 210
Chicago, IL 60640-7755
Phone
(773) 876-8763
Fax
(872) 315-3138
NPI assigned
Mar 8, 2017
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 149021781 IL Primary

Addresses

Primary practice location

4433 N Ravenswood Ave Ste 210
Chicago, IL 60640-7755

Mailing address

4433 N Ravenswood Ave Ste 210
Chicago, IL 60640-7755
Phone (773) 876-8783

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
I20191227000000 IL Practitioner - Clinical Social Worker 4981038924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149021781ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Clinical Group, Inc Social Worker CurrentSince Mar 12, 2026 Accepting new patients

Locations

4433 N Ravenswood Ave
Ste 210
Chicago, IL 60640
Phone (312) 834-5487

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1942740055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 N RAVENSWOOD AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407755",
            "telephone_number": "773-876-8783",
            "fax_number": "872-315-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 N RAVENSWOOD AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407755",
            "telephone_number": "773-876-8763",
            "fax_number": "872-315-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNO",
        "first_name": "CELESTE",
        "middle_name": "RICHARDS",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.