Individual provider Active NPI

Maria Goldstein, LSW

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1104588722
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.104105 Issued in IL
Practice address
552 S Washington St Ste 115
Naperville, IL 60540-6669
Phone
(224) 484-7584
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 150.104105 IL Primary

Addresses

Primary practice location

552 S Washington St Ste 115
Naperville, IL 60540-6669

Mailing address

2913 Manchester Dr
Montgomery, IL 60538-4063
Phone (630) 333-5487

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
I20230502001772 IL Practitioner - Clinical Social Worker 8224493986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1733 Park St
Suite 200 K
Naperville, IL 60563-8478
Phone (224) 724-7584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.104105ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Goldstein, PC CurrentSince Dec 21, 2022 Accepting new patients

Locations

2122 W Galena Blvd Ste 8
Aurora, IL 60506

550 E Boughton Rd
Ste 205
Bolingbrook, IL 60440
Phone (224) 424-7584

1733 Park St
Ste 200K
Naperville, IL 60563
Phone (224) 724-7584

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1104588722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 MANCHESTER DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605384063",
            "telephone_number": "630-333-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 S WASHINGTON ST STE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406669",
            "telephone_number": "224-484-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARIA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.104105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.