Active NPI
Cecilia Contreras, LCSW
- Clinical Social Worker
- La Grange, IL
National Provider Identifier
1992387880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.021692
- Practice address
- 1030 S la Grange Rd Ste 9
La Grange, IL 60525-2893 - Phone
- (708) 921-3639
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.021692 | IL | Primary |
Addresses
Primary practice location
1030 S la Grange Rd Ste 9
La Grange, IL 60525-2893
Mailing address
640 Liberty CT
Bourbonnais, IL 60914-4664
Phone (708) 715-4349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.021692 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kris Maynard LCSW LTD | Current | Accepting new patients |
Locations
1030 S La Grange Rd
Ste 9
La Grange, IL 60525
Phone (708) 808-4572
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Grange, IL
- NPI 1174163463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1992387880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 LIBERTY CT",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609144664",
"telephone_number": "708-715-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 S LA GRANGE RD STE 9",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252893",
"telephone_number": "708-921-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "CECILIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.021692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.