Individual provider Active NPI

Nicole Gabrielle Levine-Kapke, MSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1114542644
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022131 Issued in IL
Practice address
680 N Lake Shore Dr Ste 110-1232
Chicago, IL 60611-4546
Phone
(312) 508-3025
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW117358 CA
Clinical Social Worker 1041C0700X 149.022131 IL Primary

Addresses

Primary practice location

680 N Lake Shore Dr Ste 110-1232
Chicago, IL 60611-4546

Mailing address

680 N Lake Shore Dr Ste 110-1232
Chicago, IL 60611-4546
Phone (312) 508-3025

Other practice location 1

345 E Ohio St Apt 2307
Chicago, IL 60611-4059
Phone (312) 508-3025

Other practice location 2

3019 E Avenida De Los Arboles
Thousand Oaks, CA 91362-4925
Phone (805) 479-5867

Other names 1

  • Nicole Gabrielle Levine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 25, 2024 through Jul 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW117358CAMDClinical Social Worker
149.022131ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NGL Therapy, Licensed Clinical Social Worker, Professional Corporation Clinical CurrentSince Mar 17, 2024 Accepting new patients
Nicole Levine Therapy PLLC Clinical CurrentSince Feb 1, 2022 Accepting new patients

Locations

680 N Lake Shore Dr
Ste 110
Chicago, IL 60611
Phone (630) 283-7980

680 N Lake Shore Dr
Ste 1101232
Chicago, IL 60611
Phone (312) 508-3025

230 E Ohio St
Ste 4101232
Chicago, IL 60611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1114542644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 110-1232",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-508-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 110-1232",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-508-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E Ohio St Apt 2307",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606114059",
            "country_code": "US",
            "telephone_number": "312-508-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3019 E Avenida De Los Arboles",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913624925",
            "country_code": "US",
            "telephone_number": "805-479-5867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE-KAPKE",
        "first_name": "NICOLE",
        "middle_name": "GABRIELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW117358",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEVINE",
            "middle_name": "GABRIELLE",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.