Individual provider Active NPI

Andrea Anita Cambray

  • Clinical Social Worker
  • Joliet, IL
National Provider Identifier
1982477295
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3503 Stone Creek Dr
Joliet, IL 60435-8787
Phone
(773) 798-3873
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 Primary

Addresses

Primary practice location

3503 Stone Creek Dr
Joliet, IL 60435-8787

Mailing address

3503 Stone Creek Dr
Joliet, IL 60435-8787
Phone (773) 798-3873

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
I20240131003338 IL Practitioner - Clinical Social Worker 1850744319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

2145 E 170TH St
South Holland, IL 60473-3788
Phone (888) 705-8722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Roots Healing, PLLC Clinical CurrentSince Dec 3, 2023 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Feb 5, 2024 Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

3300 175th St
Hazel Crest, IL 60429
Phone (708) 335-2400

2500 175th St
Lansing, IL 60438
Phone (208) 474-7391

2145 E 170th St
South Holland, IL 60473
Phone (708) 849-5000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1982477295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 STONE CREEK DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358787",
            "telephone_number": "773-798-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 STONE CREEK DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358787",
            "telephone_number": "773-798-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRAY",
        "first_name": "ANDREA",
        "middle_name": "ANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.