Individual provider Active NPI

Frank DD Wilberding II, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1023473154
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017626 Issued in IL
Practice address
650 N Dearborn St
Suite 400
Chicago, IL 60654-3873
Phone
(312) 443-2112
Fax
(312) 291-9723
NPI assigned
Dec 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017626 IL Primary

Addresses

Primary practice location

650 N Dearborn St
Suite 400
Chicago, IL 60654-3873

Mailing address

111 W Wacker Dr
Apt 3201
Chicago, IL 60601-1606
Phone (312) 550-9876

Other names 1

  • Frank D Wilberding II Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.017626ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Counseling and Diagnostic Center Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1023473154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W WACKER DR",
            "address_2": "APT 3201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011606",
            "telephone_number": "312-550-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N DEARBORN ST",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543873",
            "telephone_number": "312-443-2112",
            "fax_number": "312-291-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBERDING",
        "first_name": "FRANK",
        "middle_name": "DD",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-16",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "WILBERDING",
            "middle_name": "D",
            "suffix": "II",
            "credential": "LCSW  CADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.