Individual provider Active NPI

Carly Lusk, LCSW

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1235891946
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023828 Issued in IL
Practice address
681 Lillie St
Elgin, IL 60120-4469
Phone
(804) 814-7961
NPI assigned
Oct 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34011029A IN
Clinical Social Worker 1041C0700X 149023828 IL Primary

Addresses

Primary practice location

681 Lillie St
Elgin, IL 60120-4469

Mailing address

3811 S Wallace St
Chicago, IL 60609-1749
Phone (804) 814-7961

Other practice location 1

681 Lillie St
Elgin, IL 60120-4469
Phone (804) 814-7961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251106003010 IN Practitioner - Clinical Social Worker 1254821481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

681 Lillie St
Elgin, IL 60120-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149023828ILMDClinical Social Worker
34011029AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Nov 3, 2025 Accepting new patients

Locations

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

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.

NPI Registry JSON

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1235891946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 S WALLACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091749",
            "telephone_number": "804-814-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 LILLIE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204469",
            "telephone_number": "804-814-7961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 Lillie St",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601204469",
            "country_code": "US",
            "telephone_number": "804-814-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSK",
        "first_name": "CARLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011029A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.