Neelima Devi Prabhala, MA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.027727 Issued in IL

Practice address

1000 Jorie Blvd Ste 228
Oak Brook, IL 60523-4481

Phone

(781) 308-8485

NPI assigned

Jul 6, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 23, 2025 through Jun 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Urban Wellness, LTD.

  • Professional Counselor
  • Chicago, IL
  • NPI 1942565353

  Clinical

  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1235625872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W CULLERTON ST APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083100",
            "telephone_number": "781-308-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 228",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234481",
            "telephone_number": "781-308-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Mochel Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155078",
            "country_code": "US",
            "telephone_number": "630-324-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRABHALA",
        "first_name": "NEELIMA",
        "middle_name": "DEVI",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Nicole Pong, DPT
• Subhash Popli, MD
• Teresa J Poprawski, M.D.
• Joseph John Porada Jr., M.D.
• Robert Edwin Porter III, PSY.D.
• Precious Home Care LLC
• Premier Gi PLLC
• Ketrina Premti, M.A., LPC
• Antoinette Lee Priester, LCSW
• Prime US Madical Inc

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, 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 Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.