Active NPI
Addaline Stoll, LCSW
- Clinical Social Worker
- South Barrington, IL
National Provider Identifier
1245874205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 33 W Higgins Rd Ste 955
South Barrington, IL 60010-9135 - Phone
- (331) 210-8260
- NPI assigned
- Nov 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.021770 | IL | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
33 W Higgins Rd Ste 955
South Barrington, IL 60010-9135
Mailing address
1815 Oak St
St Charles, IL 60174-3634
Phone (331) 210-8260
Other practice location 1
1815 Oak St
St Charles, IL 60174-3634
Phone (331) 310-8260
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 |
|---|---|---|---|
| 149.021770 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajdw Therapy PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- St Charles, IL
- NPI 1588459515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1245874205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 OAK ST",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601743634",
"telephone_number": "331-210-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W HIGGINS RD STE 955",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109135",
"telephone_number": "331-210-8260"
}
],
"practiceLocations": [
{
"address_1": "1815 Oak St",
"address_purpose": "LOCATION",
"city": "St Charles",
"state": "IL",
"postal_code": "601743634",
"country_code": "US",
"telephone_number": "331-310-8260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOLL",
"first_name": "ADDALINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-03",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.021770",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.