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

Maya Haydee Jimenez Waingort, LCSW

Individual provider Clinical Social Worker · NPI 1477384436

Maya Haydee Jimenez Waingort, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2024
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

4141 N Kedzie Ave Ste 2
Chicago, IL 60618-2479
Phone: (773) 754-0577
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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 149.026246 (IL)

Record details

NPI number1477384436
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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