THERESA LUZ TORO LCSW
NPI 1053173328
Social Worker - Clinical in North Chicago, IL
About Theresa Luz Toro Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA LUZ TORO LCSW (NPI 1053173328) is an individual clinical provider in North Chicago, Illinois, licensed in Illinois (149025187) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Luz Toro Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Theresa Toro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hinsdale, IL 60521
- Reassigned Medicare billing, Illinois enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Toro's NPI number?
The NPI number for Theresa Toro is 1053173328. It was assigned to this individual provider in the NPPES registry on January 23, 2024.
Where is Theresa Toro located?
Theresa Toro practices at 3001 Green Bay Rd # 3, North Chicago, IL 60064. The listed phone number is (224) 610-3744.
What is Theresa Toro's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Theresa Toro enrolled in Medicare?
Yes. Theresa Toro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Theresa Toro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Toro reassigns Medicare benefits to Hinsdale Behavioral Health Clinic (Hinsdale, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Toro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Toro accept?
Health plans from Oscar Health list Theresa Toro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Theresa Toro was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Theresa Luz Toro, LCSW · NPI 1053173328
Clinical provider in North Chicago, Illinois. Individual provider, active in the CMS NPPES registry since January 23, 2024.
## Identity
- **NPI:** 1053173328 (Entity type: Individual)
- **Enumerated:** January 23, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149025187 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3001 GREEN BAY RD # 3, North Chicago, IL 60064-3048
- **Phone:** (224) 610-3744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Hinsdale Behavioral Health Clinic (NPI 1609180918, Hinsdale, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053173328) · Data from the CMS NPPES public registry.