Angelica Guillen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023275 Issued in IL

Practice address

1300 W Belmont Ave Ste 509510
Chicago, IL 60657-3200

Phone

(312) 753-9465

Fax

(773) 442-0940

NPI assigned

Nov 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Taylor Psychological Services PC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1063856417
  NPD (past)

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1982369245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S POPLAR RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452844",
            "telephone_number": "312-753-9465",
            "fax_number": "773-442-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 509510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "312-753-9465",
            "fax_number": "773-442-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "ANGELICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Teo Guieb, APN
• Daniel Andres Guifarro Rivera, MD
• Guile'S Eyewear Boutique Inc.
• Elizabeth A Guilfoile, LMFT
• John Genevieve Guilfoile, LCSW
• Brenda Guillen, MD
• Christina Guillen, PHARMD
• Jennifer Guillen
• Marc Guillen, PT, DPT
• Michelle Guillen, LMHC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.