Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brittney Bastida

Individual provider Clinical Social Worker · NPI 1417740838

Brittney Bastida is a Clinical Social Worker in Berwyn, Illinois. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025

Practice location Address checks out

6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone: (708) 386-0835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.031676 (IL)

Record details

NPI number1417740838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2025
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address2230 S 50th Ave, Cicero, IL 60804-2434

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Berwyn