1. Home
  2. Directory
  3. Illinois
  4. Maywood
  5. Social Worker
  6. NPI Profile

DR. ANTONIO D CHAMPION PH.D., LCSW
NPI 1619706520
Social Worker - Clinical in Maywood, IL

Active since July 29, 2024PECOS Enrolled
2109 S 8TH AVE, MAYWOOD, IL 60153(708) 356-6386 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Antonio D Champion Ph.d., Lcsw NPPES

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

DR. ANTONIO D CHAMPION PH.D., LCSW (NPI 1619706520) is an individual clinical provider in Maywood, Illinois, licensed in Illinois (149.027393) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619706520
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. ANTONIO D CHAMPIONCredential: PH.D., LCSW
Location Address2109 S 8TH AVEMaywood, IL 60153-3230
Mailing Address2109 S 8th AveMaywood, IL 60153-3230 · (708) 356-6386
Phone(708) 356-6386
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1619706520 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 · 149.027393
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.
2109 S 8TH AVE, Maywood, IL 60153
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Antonio D Champion Ph.d., Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103380738
PECOS Enrollment IDI20260714004002
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.

Medicare Billing Reassignment

Medicare enrollment records show Antonio Champion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC
13 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

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 60153 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.

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 Antonio Champion's NPI number?

The NPI number for Antonio Champion is 1619706520. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Antonio Champion located?

Antonio Champion practices at 2109 S 8th Ave, Maywood, IL 60153. The listed phone number is (708) 356-6386.

What is Antonio Champion's specialty?

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

Is Antonio Champion enrolled in Medicare?

Yes. Antonio Champion is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Antonio Champion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Champion reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, 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 Antonio Champion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Champion accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and UnitedHealthcare list Antonio Champion 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 Antonio Champion was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.