Look up the most recent NPI and PECOS records

Xochitl Sandoval

Social Worker

Behavioral Health & Social Service Providers

2451 N Lincoln Ave, Chicago, IL 60614-1509

PECOS Enrollment

Based on the most recent information from CMS, provider Xochitl Sandoval is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1891191144
Provider Type
Individual
Full Name
Sandoval, Xochitl
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/14/2014
Last Updated
5/28/2025

Contact Information

Practice Location

2451 N Lincoln Ave, Chicago, IL 60614-1509

(708) 769-0782

Unlisted Fax

Mailing Location

4824 S Kedvale Ave, Chicago, IL 60632-4107

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.021828 Illinois

Xochitl Sandoval

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mill, Kori C.

Schoninger, Hillary L

Hernandez, Sara Edith

Shapps, Kimberly J

Schnieper, Priscilla Jones

Gutmann, Dana

Rebecca Jacobson Therapy, Llc

Rangel, Michael Vincent

Egel, Marilyn

Dominis, Roxanne B