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CHICAGO MIDWAY YOUTH CENTER
NPI 1497401855
Social Worker - Clinical in Chicago, IL

Active since February 24, 2022
4051 W 63RD ST, CHICAGO, IL 60629(773) 742-5728 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chicago Midway Youth Center NPPES

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

CHICAGO MIDWAY YOUTH CENTER (NPI 1497401855) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since February 2022. The organization lists Sandra Mosqueda, Behavioral Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1497401855
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHICAGO MIDWAY YOUTH CENTER
Location Address4051 W 63RD STChicago, IL 60629-4638
Mailing Address725 9th AveLa Grange, IL 60525-6728 · (773) 742-5728
Phone(773) 742-5728
Organization SubpartNo
Authorized OfficialSandra MosquedaBehavioral Health Therapist · (773) 742-5728
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1497401855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4051 W 63RD ST, Chicago, IL 60629
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ANA C CHAVEZ LCSW
Social Worker (Clinical)
4051 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 980-6784
MRS. SANDRA MOSQUEDA LCSW
Social Worker (Clinical)
4051 W 63RD ST
CHICAGO, IL 60629
Cook County (773) 742-5728

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 Chicago Midway Youth Center's NPI number?

The NPI number for Chicago Midway Youth Center is 1497401855. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Chicago Midway Youth Center located?

Chicago Midway Youth Center is located at 4051 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 742-5728.

What is Chicago Midway Youth Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Chicago Midway Youth Center was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.