DAVID CARBAJAL (NPI# 1215331103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215331103 |
| Entity Type | Individual |
| Full Name | DAVID CARBAJAL |
| Credential | LCSW |
| Practice Address |
2750 W North Ave Chicago IL 60647-5247 |
| Practice Telephone | 3124327358 |
| Mailing Telephone | 7739988439 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.016999 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2750 W NORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326065871 | Charles Harris | Emergency Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2006-07-17 |
| 1437788122 | Nohemi Herrera | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-04-03 |
| 1750919452 | Jessica Mcgee | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-03-29 |
| 1649806548 | Saad Siddiqui | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-03-23 |
| 1033744081 | Nida Bajwa | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-03-10 |
| 1053960971 | Tobias Holden | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-09-04 |
| 1396305751 | Laboratory Corporation of America | Clinical Medical Laboratory | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-06-18 |
| 1811458466 | Nicole Marie Paprocki | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-27 |
| 1730649229 | Bushra Anis | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-21 |
| 1851851463 | Christina Du Breuil | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.