Anna Bella McCormick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149021052 Issued in IL

Practice address

561 W Diversey Pkwy Ste 210a
Chicago, IL 60614-1682

Phone

(630) 336-3113

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anna Pecyna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Lily Center Chicago PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1902418650
  NPD Authorized official

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1083125033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 210A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "630-336-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 210A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "630-336-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ANNA",
        "middle_name": "BELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PECYNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Ellen McCormack, DDS
• Thomas McCormack, PT
• Anna C McCormick Krajewski, DO
• Alynn K McCormick, LCPC
• Ann Mary McCormick, APN
• Anna Elizabeth McCormick, DO
• Anthea Marie McCormick, DMD
• Bridgette Marie McCormick
• Joanne McCormick
• Kasey McCormick, NNP-BC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 31, 2024; 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.