Individual provider Active NPI

Debra A Tomlinson, MSW, LCSW, M. ED.

  • Clinical Social Worker
  • Woodridge, IL
National Provider Identifier
1114605508
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014284 Issued in IL
Practice address
1814 Harcourt Dr
Woodridge, IL 60517-4617
Phone
(847) 337-3161
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 149.014284 IL Primary

Addresses

Primary practice location

1814 Harcourt Dr
Woodridge, IL 60517-4617

Mailing address

1814 Harcourt Dr
Woodridge, IL 60517-4617
Phone (847) 337-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, CA, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240613001954 FL Practitioner - Clinical Social Worker 7214470616 Reassigns benefits to 1 organization
I20240617002844 IL Practitioner - Clinical Social Worker 7214470616 Reassigns benefits to 1 organization
I20250610003088 CA Practitioner - Clinical Social Worker 7214470616 Reassigns benefits to 1 organization
I20250611000975 IA Practitioner - Clinical Social Worker 7214470616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
149.014284ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince May 5, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 16, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1114605508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 HARCOURT DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174617",
            "telephone_number": "847-337-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 HARCOURT DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174617",
            "telephone_number": "847-337-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "MSW, LCSW, M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.