Individual provider Active NPI

Caryl M Noble, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1215482021
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.005879 Issued in IL
Practice address
1731 N Marcey St
Suite 535
Chicago, IL 60614-5373
Phone
(312) 280-1166
NPI assigned
Aug 22, 2016
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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 149.005879 IL Primary

Addresses

Primary practice location

1731 N Marcey St
Suite 535
Chicago, IL 60614-5373

Mailing address

900 Westcliff LN
Deerfield, IL 60015-3455
Phone (847) 772-2132

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
I20160829001764 IL Practitioner - Clinical Social Worker 2062707144 Reassigns benefits to 1 organization
Practice locations: Deerfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Deerfield, IL 60015
Phone (847) 772-2132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.005879ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Energize Group, Inc Clinical CurrentSince Sep 1, 2019 Accepting new patients

Locations

5130 W Jackson Blvd
Chicago, IL 60644
Phone (773) 287-1429

4950 Madison St
Unit 1391
Skokie, IL 60076

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1215482021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WESTCLIFF LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153455",
            "telephone_number": "847-772-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST",
            "address_2": "SUITE 535",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145373",
            "telephone_number": "312-280-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "CARYL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.005879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.