PROJECT VIDA, INC.
NPI 1285167577
Social Worker - Clinical in Chicago, IL
NPI Status: Active since April 04, 2017
Contact Information
2659 S KEDVALE AVE
CHICAGO, IL
ZIP 60623
Phone: (773) 277-2291
- Organization
- Social Worker
- Clinical
- CLIA Number: 14D1023970
- CLIA Cert. Type: Other
- CLIA Exp. Date: 03-29-2028
About PROJECT VIDA, INC.
This page provides the complete NPI Profile along with additional information for Project Vida, Inc., a provider established in Chicago, Illinois operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1285167577 assigned on April 2017. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Project Vida, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Jerome Montgomery Jr. (Executive Director)
- NPI
- 1285167577
- Provider Name
- PROJECT VIDA, INC.
- Entity Type
- Organization
- Location Address
- 2659 S KEDVALE AVE CHICAGO, IL 60623
- Location Phone
- (773) 277-2291
- Mailing Address
- 2659 S KEDVALE AVE CHICAGO, IL 60623
- Mailing Phone
- (773) 277-2291
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2017
- Last Update Date
- 04-04-2017
- Code Navigator
A clinical social worker like Project Vida, Inc. is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 4 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 5 | 104100000X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1023970
- Facility Type
- Other
- Certificate Effective Date
- March 30, 2026
- Certificate Expiration Date
- March 29, 2028
- Laboratory Director
- MICHAEL HENDERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Project Vida, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285167577, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285167577, enumerated as an "organization" on April 04, 2017.
The provider is located at 2659 S KEDVALE AVE CHICAGO, IL 60623 and the phone number is (773) 277-2291.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
