Individual provider Active NPI

Valerie Papillon, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1255827333
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019499 Issued in IL
Practice address
140 Ridge Ave Apt 1E
Evanston, IL 60202-3803
Phone
(847) 721-9127
NPI assigned
Jul 2, 2018
Reactivated
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 149019499 IL Primary

Addresses

Primary practice location

140 Ridge Ave Apt 1E
Evanston, IL 60202-3803

Mailing address

140 Ridge Ave Apt 1E
Evanston, IL 60202-3803
Phone (847) 721-9127

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
I20240829003215 IL Practitioner - Clinical Social Worker 0547709867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149019499ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Community Health, Inc. CurrentSince Aug 16, 2024 Accepting new patients
Primecare Community Health, Inc. Current Accepting new patients
Transformative Care Therapy and Consulting PLLC Clinical CurrentSince Jun 3, 2025 Accepting new patients
Primecare Community Health Inc CurrentSince Aug 16, 2024 Accepting new patients

Locations

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

Organizations & group practices 4

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1255827333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RIDGE AVE APT 1E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023803",
            "telephone_number": "847-721-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RIDGE AVE APT 1E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023803",
            "telephone_number": "847-721-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPILLON",
        "first_name": "VALERIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "deactivation_date": "2019-12-20",
        "reactivation_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.