Carolyn Trujillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020924 Issued in IL

Practice address

990 Grove St Ste 303
Evanston, IL 60201-6513

Phone

(847) 767-4096

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carolyn Trujillo LLC

  • Clinical Social Worker
  • Palatine, IL
  • NPI 1578102794
  NPD Authorized official
• Crosswinds Center for Personal and Professional Development, PLLC

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1811412166
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1952781577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 W WHYTECLIFF RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675851",
            "telephone_number": "847-767-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 GROVE ST STE 303",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016513",
            "telephone_number": "847-767-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3436 N Kennicott Ave",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600047814",
            "country_code": "US",
            "telephone_number": "847-952-7460",
            "fax_number": "847-222-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "CAROLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150013785",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trio Health Medical Il Psychiatry Partners SC
• Alexis Trocki
• Matthew Troup, PA-C
• Hannah Truckenbrod
• Truescan Medical and Wellness Group LLC
• Hong Hieu Truong, MD
• Kathy Buchanan Trusdell, LCSW
• Rebecca Wanting Tsang, M.D., M.P.H.
• Rick Tsao
• Michael Jeng-Ming Tu, D.O.

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Nov 23, 2019; 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.