Individual provider Active NPI

Priya Kapoor, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1164910485
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013765 Issued in IL
Practice address
1740 Ridge Ave Ste 201
Evanston, IL 60201-5909
Phone
(828) 242-6985
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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 149.013765 IL Primary

Addresses

Primary practice location

1740 Ridge Ave Ste 201
Evanston, IL 60201-5909

Mailing address

9669 Kenton Ave Ste 204
Skokie, IL 60076-1227
Phone (847) 425-6440

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
I20201118000296 IL Practitioner - Clinical Social Worker 2961813290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.013765ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Priya Kapoor PLLC Clinical Current Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 5, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 5, 2020 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

1740 Ridge Ave
Ste 201
Evanston, IL 60201
Phone (847) 475-7003

9669 Kenton Ave
Ste 204
Skokie, IL 60076
Phone (847) 982-1095

Organizations & group practices 3

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1164910485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761227",
            "telephone_number": "847-425-6440",
            "fax_number": "847-933-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015909",
            "telephone_number": "828-242-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "PRIYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.