Individual provider Active NPI

Angela D Hunsicker, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1144438623
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009683 Issued in IL
Practice address
1801 W Diversey Pkwy Unit 12
Chicago, IL 60614-1049
Phone
(312) 307-6792
Fax
(312) 277-2590
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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 149009683 IL Primary

Addresses

Primary practice location

1801 W Diversey Pkwy Unit 12
Chicago, IL 60614-1049

Mailing address

1801 West Diversey Unit 12
Chicago, IL 60614-1049
Phone (312) 307-6792

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
I20161013000150 IL Practitioner - Clinical Social Worker 8426346131 Reassigns benefits to 2 organizations
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3057 N Rockwell St
Chicago, IL 60618-7917
Phone (312) 307-6792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Hunsicker LCSW PLLC Clinical CurrentSince Jul 23, 2022 Accepting new patients
Smart Love Parenting Center CurrentSince Aug 2, 2016 Accepting new patients

Locations

3057 N Rockwell St
Chicago, IL 60618
Phone (312) 307-6792

4223 N Lincoln Ave
Chicago, IL 60618
Phone (773) 661-2990

800 W Buena Ave
Chicago, IL 60613
Phone (773) 327-6000

1010 Lake St
Ste 500
Oak Park, IL 60301
Phone (708) 524-8600

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1144438623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WEST DIVERSEY UNIT 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141049",
            "telephone_number": "312-307-6792",
            "fax_number": "312-277-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W DIVERSEY PKWY UNIT 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141049",
            "telephone_number": "312-307-6792",
            "fax_number": "312-277-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSICKER",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.