Active NPI
Frank DD Wilberding II, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1023473154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.017626
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.017626 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1245621242
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.