SITHARA VINCENT – Social Worker, NPI 1093440935

SITHARA VINCENT is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149.025744 (IL). The NPI Number for SITHARA VINCENT is 1093440935

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SITHARA VINCENT
NPI
1093440935
Phone
(773) 980-9679
Address
77 W WASHINGTON ST STE 1500
Enumeration Date
22 July 2022
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7739809679
Graduation Year
2021 (5 years ago)
PAC ID
4981065901
Group Practice PAC ID
2365831609
Professional Enrollment ID
I20230807001668
Address ID
IL606023219CH77XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for SITHARA VINCENT

  • 77 W WASHINGTON ST STE 1500

    CHICAGO, IL 606023219

    Phone: (773) 980-9679

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230807001668IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365831609View full group profile
NameSpecialtyState
Clinical PsychologistIL
Marriage And Family TherapistIL
Marriage And Family TherapistIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How do payers reference SITHARA VINCENT?
For SITHARA VINCENT, use NPI 1093440935 as the unique 10-digit identifier.
Is SITHARA VINCENT shown as active in public data?
Registry records indicate SITHARA VINCENT maintains an active NPI.
What kind of doctor is SITHARA VINCENT?
SITHARA VINCENT is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is SITHARA VINCENT associated with Chicago?
Public fields place SITHARA VINCENT around Chicago, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.