Individual provider Active NPI

Lee Thompson, LSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1104579838
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149026264 Issued in IL
Practice address
964 E 62ND St Apt 3C
Chicago, IL 60637-4064
Phone
(503) 583-5921
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 149026264 IL Primary

Addresses

Primary practice location

964 E 62ND St Apt 3C
Chicago, IL 60637-4064

Mailing address

964 E 62ND St Apt 3C
Chicago, IL 60637-4064
Phone (503) 583-5921

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240927000615 IL Practitioner - Clinical Social Worker 6901337245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Clinical Group, IncGroup PAC ID 5799029849, 3 clinicians

Practice addresses (Care Compare)

4433 N Ravenswood Ave
Suite 210
Chicago, IL 60640-7755
Phone (312) 834-5487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Clinical Group, Inc Social Worker CurrentSince Aug 13, 2024 Accepting new patients

Locations

4433 N Ravenswood Ave
Ste 210
Chicago, IL 60640
Phone (312) 834-5487

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1104579838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 E 62ND ST APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374064",
            "telephone_number": "503-583-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 E 62ND ST APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374064",
            "telephone_number": "503-583-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LEE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.