Mary Marie Ihnenfeld, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-008331 Issued in IL

Practice address

309 New Indian Trail Court
Aurora, IL 60506

Phone

(630) 966-4000

NPI assigned

Mar 9, 2007

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oswego Wellness IncGroup PAC ID 3274899844, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Beacon, PLLC

  • Adult Mental Health Clinic/Center
  • Oswego, IL
  • NPI 1073495024
  Medicare reassignment NPD Authorized official
• Oswego Wellness, Inc

  • Community/Behavioral Health Agency
  • Oswego, IL
  • NPI 1912373069
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1194856054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ALSCHULER DRIVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-966-4292",
            "fax_number": "630-978-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NEW INDIAN TRAIL COURT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-966-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S River St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065185",
            "country_code": "US",
            "telephone_number": "630-844-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IHNENFELD",
        "first_name": "MARY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rameeza Ibrahim
• Ideal Medical Equipment and Supplies
• Ann M Iglesias, APN,CNP
• Ignite Hospitalists, LLC
• Ih Fox Valley Opco, LLC (Thrive Fox Valley)
• Abigail Marie Illingworth
• Illinois Health Resources Inc
• Illinois Math and Science Academy
• Imaging Centers of America Inc
• Imelda Dawis MD SC

• Clinical Social Worker in Aurora, IL
• Providers in Aurora, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.