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LETICIA RIOS
NPI 1861790651
Social Worker - Clinical in Chicago, IL

Active since March 03, 2011PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
3225 N SHEFFIELD AVE, CHICAGO, IL 60657(773) 549-5886(773) 549-5892 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2021, Jun 25, 2020 (2 updates tracked since 2020).

About Leticia Rios NPPES

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

LETICIA RIOS (NPI 1861790651) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-015413) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1861790651
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLETICIA RIOS
Location Address3225 N SHEFFIELD AVEChicago, IL 60657-2210
Mailing Address3225 N Sheffield AveChicago, IL 60657-2210 · (773) 549-5886 · Fax (773) 549-5892
Phone(773) 549-5886
Fax(773) 549-5892
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateMarch 3, 2011
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1861790651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149-015413
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.
Also ListedSocial WorkerTaxonomy 104100000X
3225 N SHEFFIELD AVE, Chicago, IL 60657
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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

Leticia Rios 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.

PECOS PAC ID1355560855
PECOS Enrollment IDI20140916000797
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 Reassignments

2

Medicare enrollment records show Leticia Rios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
4.7 mi
Multi-Specialty
2020 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1861513996 (312) 864-4665
Eaves Health Partners PLLC
9.1 mi
Clinical
5151 CHURCH ST
Skokie, IL 60077
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1639847551 (847) 933-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Other Providers at the Same Location NPPES 13

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

COUNSELING CENTER OF LAKEVIEW
Community/Behavioral Health
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-5886
MS. MIRIAM TORRADO MSW, LCSW
Social Worker (Clinical)
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-1102
MS. CYNTHIA JONES RN
Registered Nurse (Psychiatric/Mental Health, Adult)
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-5886
MS. SARAH RH SOLIN LCSW
Social Worker (Clinical)
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-5886
KARIN BETH BLOOM MSW,LCSW
Social Worker (Clinical)
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-5886
MRS. HALLEY WILLIAMS LCSW
Social Worker (Clinical)
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-5886
DELIA DE AVILA LCSW
Social Worker (Clinical)
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-5886
COUNSELING CENTER OF LAKE VIEW
Clinic/Center (Mental Health (Including Community Mental Health Center))
3225 N SHEFFIELD AVE
CHICAGO, IL 60657
Cook County (773) 549-5886

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 Leticia Rios's NPI number?

The NPI number for Leticia Rios is 1861790651. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Where is Leticia Rios located?

Leticia Rios practices at 3225 N Sheffield Ave, Chicago, IL 60657. The listed phone number is (773) 549-5886.

What is Leticia Rios's specialty?

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

Is Leticia Rios enrolled in Medicare?

Yes. Leticia Rios 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 organizations bill Medicare for Leticia Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Rios reassigns Medicare benefits to 2 organizations: Cook County (Chicago, IL) and Eaves Health Partners PLLC (Skokie, IL). Each 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 Leticia Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Leticia Rios affiliated with any hospitals?

According to CMS data, Leticia Rios is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Leticia Rios was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.