Individual provider Active NPI

Clare Colette Thoele, MSW, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1053078717
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150105490 Issued in IL
Practice address
303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone
(312) 934-7701
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150105490 IL Primary

Addresses

Primary practice location

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227

Mailing address

355 E Erie St
Chicago, IL 60611-3167

Other practice location 1

2500 W Bradley Pl Ste 109
Chicago, IL 60618-4716
Phone (773) 332-9439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225002600 IL Practitioner - Clinical Social Worker 5698295392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150105490ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Playworks Therapy, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Resilience Psychological Services, PC CurrentSince Jan 27, 2025 Accepting new patients

Locations

303 E Wacker Dr
Ste 1130
Chicago, IL 60601
Phone (312) 600-3935

2500 W Bradley Pl
Ste 109
Chicago, IL 60618
Phone (773) 332-9439

Organizations & group practices 2

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1053078717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-934-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Bradley Pl Ste 109",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606184716",
            "country_code": "US",
            "telephone_number": "773-332-9439",
            "fax_number": "773-754-8730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOELE",
        "first_name": "CLARE",
        "middle_name": "COLETTE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150105490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.