Individual provider Active NPI

Elwin Denard Trammell II

  • Clinical Social Worker
  • Lansing, IL
National Provider Identifier
1134907298
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026805 Issued in IL
Practice address
17755 Park Blvd Apt 1C
Lansing, IL 60438-1942
Phone
(708) 513-2731
NPI assigned
Sep 20, 2023
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 149.026805 IL Primary
Clinical Social Worker 1041C0700X 34010635A IN

Addresses

Primary practice location

17755 Park Blvd Apt 1C
Lansing, IL 60438-1942

Mailing address

17755 Park Blvd Apt 1C
Lansing, IL 60438-1942
Phone (708) 513-2731

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
I20250717003622 IL Practitioner - Clinical Social Worker 2062928088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Forest Psychological ServiceGroup PAC ID 6507762580, shared by 2 NPIs, 7 clinicians
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

6502 Joliet Rd
Countryside, IL 60525-4682
Phone (708) 215-8400

9730 S Western Ave
Suite 230
Evergreen Park, IL 60805-2760
Phone (708) 734-9131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026805ILMDClinical Social Worker
34010635AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Forest Psychological Service Clinical CurrentSince Aug 25, 2025 Accepting new patients
Oak Forest Psychological Service Clinical CurrentSince Aug 25, 2025 Accepting new patients
Foresight Clinical Counseling PLLC Clinical CurrentSince Jul 14, 2026 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Jul 10, 2025 Accepting new patients

Locations

160 W 10th St
Chicago Hts, IL 60411
Phone (708) 754-2220

6502 Joliet Rd
Countryside, IL 60525
Phone (708) 215-8400

6502 Joliet Rd
Fl 2
Countryside, IL 60525
Phone (708) 215-8400

9730 S Western Ave
Ste 206
Evergreen Park, IL 60805
Phone (708) 475-0622

9730 S Western Ave
Ste 230
Evergreen Pk, IL 60805
Phone (708) 422-4944

40 Smith St
Frankfort, IL 60423
Phone (815) 469-3156

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • Direct secure messaging: elwin.trammell.1@25899.direct.athenahealth.com

Organizations & group practices 4

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1134907298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17755 PARK BLVD APT 1C",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381942",
            "telephone_number": "708-513-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17755 PARK BLVD APT 1C",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381942",
            "telephone_number": "708-513-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMELL",
        "first_name": "ELWIN",
        "middle_name": "DENARD",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026805",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010635A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.