XIOMARA D. CLANTON LCSW
NPI 1578750501
Social Worker in Cicero, IL
NPI Status: Active since October 03, 2007
Contact Information
5341 W CERMAK RD
CICERO, IL
ZIP 60804
Phone: (708) 656-6430
Fax: (708) 656-6430
- Individual
- Female
- Years of Experience 34
- Social Worker
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About XIOMARA CLANTON
This page provides the complete NPI Profile along with additional information for Xiomara Clanton, a provider established in Cicero, Illinois with a medical specialization in Social Worker and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1578750501 assigned on October 2007. The practitioner's primary taxonomy code is 104100000X with license number 149008721 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1578750501
- Provider Name
- XIOMARA D. CLANTON LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5341 W CERMAK RD CICERO, IL 60804
- Location Phone
- (708) 656-6430
- Location Fax
- (708) 656-6430
- Mailing Address
- 2347 GROVE AVE BERWYN, IL 60402
- Mailing Phone
- (708) 795-1082
- Mailing Fax
- (708) 656-6430
- Medical School Name
- OTHER
- Graduation Year
- 1992
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2007
- Last Update Date
- 11-22-2024
- Code Navigator
A social worker like Xiomara Clanton helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 149008721
- License State
- IL
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
1617631 | OTHER (01) | IL | BLUE CROSS BLUE SHIELD |
202591 | OTHER (01) | IL | MEDICARE |
149008721 | MEDICAID (05) | IL |
Medicare Participation & PECOS Enrollment Status
Xiomara Clanton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Xiomara Clanton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6507934494
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081006000146
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for XIOMARA D. CLANTON LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 7 | 8 | 7 | 5 | 0 | 5 | 0 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 14 | 8 | 14 | 5 | 0 | 5 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 4 + 8 + 1 + 4 + 5 + 0 + 5 + 0 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1578750501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1336254440 | JOHN PATRICK MORGAN L.C.P.C. Individual | Counselor (Professional) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1780795948 | MS. KATHLEEN LOUISE ALLEN LCPC Individual | Counselor (Professional) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1134246127 | MRS. JANETTE MARTINEZ-LOPEZ QMHP, MA Individual | Counselor (Mental Health) | 5341 W CERMAK RD CICERO, IL 60804 (773) 656-6430 |
1518088533 | MISS BARBARA CAROL SUCH PSY.D. Individual | Psychologist (Clinical) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1760609143 | JORGE CAMARENA B.S. Individual | Counselor (Mental Health) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1184841009 | MS. REGINA M ROSSETTO LCSW Individual | Social Worker (Clinical) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1821299132 | MS. REBECCA CASTRO L.C.S.W., MSW Individual | Social Worker (Clinical) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1801067368 | FAMILY SERVICE & MENTAL HEALTH SERVICE OF CICERO Organization | Case Management | 5341 W CERMAK RD 201 CICERO, IL 60804 (708) 656-6430 |
1114190196 | SHERITA COOPER Individual | Counselor (Mental Health) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1295977270 | MS. LILY LIZZETHE ALATORRE B.S. Individual | Counselor (Mental Health) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1346484383 | MS. MARIA KARINA ESPARZA Individual | Student in an Organized Health Care Education/Training Program | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6431 |
1376787325 | MISS KATHLEEN MCDERMOTT Individual | Student in an Organized Health Care Education/Training Program | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1336372689 | MILAGROS ROSARIO MSW Individual | Social Worker | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1073841920 | MAGALY DEL VALLE MA Individual | Counselor (Mental Health) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1912238072 | KATHRYN GAMBACH Individual | Student in an Organized Health Care Education/Training Program | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1114230208 | SARAH STREED Individual | Counselor | 5341 W CERMAK RD CICERO, IL 60804 (111) 111-1111 |
1417266883 | MR. BRIAN RAMON PEETE M.S. Individual | Counselor | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1326341991 | STEPHANIE ELIZABETH BECERRA Individual | Behavior Analyst | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6591 |
1043517618 | MS. CORINA MARTINEZ BA Individual | Counselor (Mental Health) | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
1912272279 | ALVINA PONDER B.S. Individual | Counselor | 5341 W CERMAK RD CICERO, IL 60804 (708) 656-6430 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578750501, enumerated in the NPI registry as an "individual" on October 03, 2007
The provider is located at 5341 W Cermak Rd Cicero, Il 60804 and the phone number is (708) 656-6430
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider has more than 34 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on October 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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