Marly Mathes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.025458 Issued in IL

Practice address

2314 W Wabansia Ave Apt 2E
Chicago, IL 60647-6487

Phone

(847) 707-3308

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 19, 2024 through Sep 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Moment Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1316740350
  NPD Authorized official
• Lincoln Park Therapy Group

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1144672908
  NPD (past)

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1144056037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 W WABANSIA AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476487",
            "telephone_number": "847-707-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 W WABANSIA AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476487",
            "telephone_number": "847-707-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHES",
        "first_name": "MARLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Mather, PHD
• Ryan Mather, PSYD
• Emma Juliet Mathers, MD
• Cynthia Mathes, LSW
• Kimberly Mathes
• Matheson Counseling PLLC
• Jarom Matheson, LCSW
• Mathew Oommen MD SC
• A. K. Mathew, M.D.
• Amanda Mathew, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.