Individual provider Active NPI

Carol McCardell, MSW, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1154484483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1604 Chicago Ave
Suite 2
Evanston, IL 60201-6017
Phone
(847) 328-9939
Fax
(847) 835-7067
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 IL Primary

Addresses

Primary practice location

1604 Chicago Ave
Suite 2
Evanston, IL 60201-6017

Mailing address

1022 Cherry Tree LN
Glencoe, IL 60022-1006
Phone (847) 835-2040

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
I20070314000511 IL Practitioner - Clinical Social Worker 0345343521 Practice locations: Evanston, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1604 Chicago Ave
Suite 2
Evanston, IL 60201-6017
Phone (847) 727-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.001034ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Silveira, Inc. PastSince Jan 1, 2024 Accepting new patients
Carol McCardell, LCSW, LTD PastSince Jan 10, 2007 Accepting new patients

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154484483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 CHERRY TREE LN",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221006",
            "telephone_number": "847-835-2040",
            "fax_number": "847-835-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 CHICAGO AVE",
            "address_2": "SUITE 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016017",
            "telephone_number": "847-328-9939",
            "fax_number": "847-835-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARDELL",
        "first_name": "CAROL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.