Individual provider Active NPI

Marilyn Joanne Nadulek, LCSW

  • Clinical Social Worker
  • Arlington Heights, IL
National Provider Identifier
1144401332
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008999 Issued in IL
Practice address
2016 N Kennicott Dr
Arlington Heights, IL 60004-2922
Phone
(847) 220-1331
Fax
(847) 398-3099
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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 149.008999 IL Primary

Addresses

Primary practice location

2016 N Kennicott Dr
Arlington Heights, IL 60004-2922

Mailing address

2016 N Kennicott Dr
Arlington Heights, IL 60004-2922
Phone (847) 220-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.008999ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1144401332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 N KENNICOTT DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042922",
            "telephone_number": "847-220-1331",
            "fax_number": "847-398-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 N KENNICOTT DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042922",
            "telephone_number": "847-220-1331",
            "fax_number": "847-398-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADULEK",
        "first_name": "MARILYN",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.