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

Cody Berillo, LCSW

Individual provider Clinical Social Worker · NPI 1871292995

Cody Berillo, LCSW is a Clinical Social Worker in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices with Four Corners Wellness Center, Ltd, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6392 Linden Rd
Rockford, IL 61109-2816
Phone: (779) 368-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149025210 (IL)

Record details

NPI number1871292995
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address6392 Linden Rd, Rockford, IL 61109-2816

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Four Corners Wellness Center, Ltd — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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