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NPI 1477908176 · Clinical Social Worker · Chicago, IL
Provider details
- NPI number
- 1477908176
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Martha Rodriguez, Manager(773) 704-3948
- License
- 149.012310 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4501 S Washtenaw Ave
Chicago, IL 60632-1942
Phone: (773) 704-3948
Fax: (773) 453-3307
Street-level locationGet directions
Mailing address
4501 S Washtenaw Ave
Chicago, IL 60632-1942
Registry dates
- Enumerated
- 2016-04-30
- Last updated
- 2016-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.