MR. ANGEL FERNANDO FREIRE (NPI# 1104918127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104918127 |
| Entity Type | Individual |
| Full Name | MR. ANGEL FERNANDO FREIRE |
| Credential | LCSW |
| Practice Address |
5080 N Elston Ave Chicago IL 60630-2459 |
| Mailing Address |
Po Box 613 Tinley Park IL 60477-0613 |
| Practice Telephone | 3129127480 |
| Mailing Telephone | 3129127480 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149006037 | IL | Behavioral Health & Social Service Providers |
| Street Address |
5080 N ELSTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546260 | Kleah Fernandez | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-10-21 |
| 1760003917 | Jamica Harper | Case Manager/Care Coordinator | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-04-29 |
| 1104451368 | Kathryn Ogodogu | Counselor | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-03-09 |
| 1588299705 | Dorothy Jakubowski | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-03-09 |
| 1518592617 | Tiffany R. Gunn | Counselor | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-03-09 |
| 1639702509 | Kylie N Doorn | Case Manager/Care Coordinator | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2020-02-19 |
| 1336781681 | Saadiq Bey | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2019-10-08 |
| 1134684095 | Brian T Greenwood | Social Worker | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2019-02-05 |
| 1548731524 | Oluwaseun Adekola Abanikanda | Case Management | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2018-12-17 |
| 1750866570 | Angela Chermayne Campbell | Case Manager/Care Coordinator | 5080 N Elston Ave, Chicago, IL 60630-2459 | 2018-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
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| 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] |
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| 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 |
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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.