MAYA HAYDEE JIMENEZ WAINGORT LCSW
NPI 1477384436
Social Worker - Clinical in Chicago, IL

Q: What is Maya Jimenez Waingort's NPI number?

The NPI number for Maya Jimenez Waingort is 1477384436. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Q: What is Maya Jimenez Waingort's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 12, 2024PECOS Enrolled

4141 N KEDZIE AVE STE 2, CHICAGO, IL 60618(773) 754-0577 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2024, Aug 12, 2024 (2 updates tracked since 2024).

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About Maya Haydee Jimenez Waingort Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYA HAYDEE JIMENEZ WAINGORT LCSW (NPI 1477384436) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.026246) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477384436

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMAYA HAYDEE JIMENEZ WAINGORTCredential: LCSW

Location Address4141 N KEDZIE AVE STE 2Chicago, IL 60618-2479

Mailing Address4141 N Kedzie Ave Ste 2Chicago, IL 60618-2479

Phone(773) 754-0577

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 12, 2024

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1477384436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.026246

Definition

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.

4141 N KEDZIE AVE STE 2, Chicago, IL 60618

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Haydee Jimenez Waingort Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476029794

PECOS Enrollment IDI20260415001527

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SINANE REYNALDO GOULET LCSW, I/ECMH C

Social Worker (Clinical)