Stephanie Nash, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023558 Issued in IL

Practice address

9435 Bormet Dr Ste 5
Mokena, IL 60448-7401

Phone

(708) 995-7226

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Rising Therapy LLCGroup PAC ID 8729584305, 24 clinicians

Great Changes Counseling Services, P.C.Group PAC ID 3375718604, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Great Changes Counseling Services, P.C.

  • Clinical Social Worker
  • Mokena, IL
  • NPI 1205137346
  Medicare reassignment Care Compare group NPD
• Silver Rising Therapy LLC

  • Clinical Social Worker
  • Burr Ridge, IL
  • NPI 1659254068
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1043984933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W514 EARL CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615128",
            "telephone_number": "630-247-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 BORMET DR STE 5",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487401",
            "telephone_number": "708-995-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lee Murphy
• Lauren Marie Murray, ACNPC-AG
• Anjali Mutholam, M.S., CF-SLP
• Jennifer L Nabong, APN, FNP
• Phillip David Narcissi, DPM
• Carlos Alberto Natera Garcia, SA-C
• New Normal Psychiatry & Wellness PLLC
• Adrian Nica, M.D.
• Glen John Nisivoccia, D C
• Juan Noguera, RSA

• Clinical Social Worker in Mokena, IL
• Providers in Mokena, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.