Individual provider Active NPI

Guadalupe Quintana-Salgado

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1992389928
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024159 Issued in IL
Practice address
8407 S Constance Ave
Chicago, IL 60617-2218
Phone
(773) 656-4358
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 149.024159 IL Primary

Addresses

Primary practice location

8407 S Constance Ave
Chicago, IL 60617-2218

Mailing address

4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone (773) 388-1600

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
I20220310002838 IL Practitioner - Clinical Social Worker 2769877661 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Brown Health Center Current Accepting new patients
Esperanza Health Centers CurrentSince Feb 13, 2023 Accepting new patients
Howard Brown Health Center CurrentSince Feb 14, 2022 Accepting new patients
Resk Residential Services Inc, Clinical CurrentSince May 9, 2021 Accepting new patients
Esperanza Health Centers Current Accepting new patients
Esperanza Health Centers CurrentSince Feb 13, 2023 Accepting new patients
Howard Brown Health Center CurrentSince Feb 14, 2022 Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

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

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

3059 W 26th St
Chicago, IL 60623
Phone (312) 243-3769

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

1025 W Sunnyside Ave
Ste 100
Chicago, IL 60640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1992389928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132010",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 S CONSTANCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172218",
            "telephone_number": "773-656-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA-SALGADO",
        "first_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.