Individual provider Active NPI

Sandra Montes, LCSW

  • Clinical Social Worker
  • Berwyn, IL
National Provider Identifier
1962630566
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-013427 Issued in IL
Practice address
6843 Stanley Ave
Berwyn, IL 60402-5292
Phone
(708) 613-7912
NPI assigned
Jun 23, 2009
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 149-013427 IL Primary

Addresses

Primary practice location

6843 Stanley Ave
Berwyn, IL 60402-5292

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (708) 298-0766

Other practice location 1

5524 W Cermak Rd Ste 2
Cicero, IL 60804-2217
Phone (708) 298-0766

Other names 1

  • Montes-Gutierrez Sandra Other name

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
I20160122000632 IL Practitioner - Clinical Social Worker 4385947522 Reassigns benefits to 1 organization

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
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

1715 E 95TH St
Chicago, IL 60617-4708
Phone (312) 733-9730

4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone (855) 625-7878

5524 W Cermak Rd
Suite 2
Cicero, IL 60804-2217
Phone (708) 298-0766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-013427ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Oct 27, 2025 Accepting new patients
In Motion Counseling Clinical CurrentSince Apr 26, 2020 Accepting new patients

Locations

6843 Stanley Ave
Berwyn, IL 60402
Phone (708) 613-7912

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

5524 W Cermak Rd
#2
Cicero, IL 60804
Phone (708) 298-0766

Organizations & group practices 2

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1962630566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "708-298-0766",
            "fax_number": "708-810-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025292",
            "telephone_number": "708-613-7912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5524 W Cermak Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "608042217",
            "country_code": "US",
            "telephone_number": "708-298-0766",
            "fax_number": "708-810-4231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTES",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-013427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTES-GUTIERREZ",
            "last_name": "SANDRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.