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ADVANCED CLINICAL HEALTH SERVICE CORPORATION
NPI 1891200317
Social Worker - Clinical in Chicago, IL

Active since December 06, 2017
2925 S WABASH AVE STE 102, CHICAGO, IL 60616(773) 879-2274(312) 225-6742 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Clinical Health Service Corporation NPPES

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

ADVANCED CLINICAL HEALTH SERVICE CORPORATION (NPI 1891200317) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since December 2017. The organization lists Edrena Joy Davis, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1891200317
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameADVANCED CLINICAL HEALTH SERVICE CORPORATION
Location Address2925 S WABASH AVE STE 102Chicago, IL 60616-3583
Mailing Address2925 S Wabash Ave Ste 102Chicago, IL 60616-3583 · (773) 879-2274 · Fax (312) 225-6742
Phone(773) 879-2274
Fax(312) 225-6742
Organization SubpartNo
Authorized OfficialEdrena Joy DavisLicensed Clinical Social Worker · (773) 879-2274
Enumeration DateDecember 6, 2017
✔ NPI 1891200317 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 · 149018258
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.
2925 S WABASH AVE STE 102, Chicago, IL 60616
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Clinical Health Service Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Clinical Health Service Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edrena Davis
Clinical Social Worker
NPI 1619313889
1909 CHEKER SQ
Hazel Crest, IL 60429
(708) 331-0500
✔ PECOS19 mi

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

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 Advanced Clinical Health Service Corporation's NPI number?

The NPI number for Advanced Clinical Health Service Corporation is 1891200317. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Advanced Clinical Health Service Corporation located?

Advanced Clinical Health Service Corporation is located at 2925 S Wabash Ave Ste 102, Chicago, IL 60616. The listed phone number is (773) 879-2274.

What is Advanced Clinical Health Service Corporation's specialty?

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

Is Advanced Clinical Health Service Corporation enrolled in Medicare?

Yes. Advanced Clinical Health Service Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Clinical Health Service Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Advanced Clinical Health Service Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Clinical Health Service Corporation was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.