Individual provider Active NPI

Evelyn Delgado

  • Social Worker
  • Chicago, IL
National Provider Identifier
1962219899
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150115581 Issued in IL
Practice address
2001 S California Ave
Chicago, IL 60608-2486
Phone
(708) 584-6200
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 150115581 IL Primary

Addresses

Primary practice location

2001 S California Ave
Chicago, IL 60608-2486

Mailing address

39 Bernice Ave
Northlake, IL 60164-1708
Phone (872) 223-6285

Other practice location 1

4720 S California Ave
Chicago, IL 60632-2016
Phone (773) 584-6200

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
I20250218001459 IL Practitioner - Clinical Social Worker 7012437387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150115581ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Health Centers Current Accepting new patients
Esperanza Health Centers CurrentSince Dec 1, 2024 Accepting new patients
Esperanza Health Centers CurrentSince Dec 1, 2024 Accepting new patients

Locations

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

1940 S Western Ave
#205
Chicago, IL 60608
Phone (631) 877-0913

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

4720 S California Ave
Chicago, IL 60632
Phone (312) 942-2877

Interoperability endpoints

  • Direct secure messaging: evelyn.delgado.1@11903.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

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": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1962219899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BERNICE AVE",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601641708",
            "telephone_number": "872-223-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "708-584-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 S California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606322016",
            "country_code": "US",
            "telephone_number": "773-584-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150115581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.