Active NPI
Nicol J Mack
- Social Worker
- New Lenox, IL
National Provider Identifier
1174312557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.112599
- Practice address
- 1032 Schoolgate Rd
New Lenox, IL 60451-2681 - Phone
- (708) 768-1590
- Fax
- (708) 768-1590
- NPI assigned
- May 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.112599 | IL | Primary |
Addresses
Primary practice location
1032 Schoolgate Rd
New Lenox, IL 60451-2681
Mailing address
1032 Schoolgate Rd
New Lenox, IL 60451-2681
Phone (708) 768-1590
Other practice location 1
73 W Monroe Street #422
Chicago, IL 60603
Phone (888) 500-2067
Other names 1
- Nicol J Svoboda
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.112599 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Cambridge, MA
- NPI 1912633975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1174312557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 SCHOOLGATE RD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604512681",
"telephone_number": "708-768-1590",
"fax_number": "708-768-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 SCHOOLGATE RD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604512681",
"telephone_number": "708-768-1590",
"fax_number": "708-768-1590"
}
],
"practiceLocations": [
{
"address_1": "73 W Monroe Street #422",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60603",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACK",
"first_name": "NICOL",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-02",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.112599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOL",
"last_name": "SVOBODA",
"middle_name": "J",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.