Individual provider Active NPI

Alberto Gonzalez

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1992435796
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024505 Issued in IL
Practice address
3411 W Diversey Ave
Chicago, IL 60647-1245
Phone
(224) 534-0331
NPI assigned
Jun 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 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 149.024505 IL Primary

Addresses

Primary practice location

3411 W Diversey Ave
Chicago, IL 60647-1245

Mailing address

3411 W Diversey Ave
Chicago, IL 60647-1245
Phone (224) 534-0331

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
I20250829000185 IL Practitioner - Clinical Social Worker 9436650645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

3229 -43 W 47TH PL
Kedzie Family Health Center
Chicago, IL 60632-3011
Phone (773) 254-6044

3752 W 16TH St
Chicago, IL 60623-2028
Phone (773) 762-2435

3800 W Madison St
Madison Family Health Center
Chicago, IL 60624-2334
Phone (773) 826-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.024505ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jun 9, 2025 Accepting new patients
Access Community Health Network CurrentSince Jun 9, 2025 Accepting new patients
Access Community Health Network Current Accepting new patients
Resilience Rising, PLLC Clinical PastSince Dec 21, 2021 Accepting new patients

Locations

600 W Fulton St
Ste 300
Chicago, IL 60661

Organizations & group practices 4

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1992435796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "224-534-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "224-534-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.