Active NPI
Mandi Buss, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016096
- Practice address
- 680 North Lake Shore Drive
Suite 110 #1678
Chicago, IL 60611 - Phone
- (312) 999-0201
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 103205-875 | WI | |
| Clinical Social Worker | 1041C0700X | 149016096 | IL | Primary |
Addresses
Primary practice location
680 North Lake Shore Drive
Suite 110 #1678
Chicago, IL 60611
Mailing address
345 W. Washington Ave
Suite 301 #2011
Madison, WI 53703-3007
Phone (312) 999-0201
Other practice location 1
345 W. Washington Ave
Suite 301 #2011
Madison, WI 53703
Phone (312) 999-0201
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
345 W Washington Ave
Suite 301 2011
Madison, WI 53703-2996
PO Box
Suite 1173
Salem, UT 84653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016096 | IL | MD | Clinical Social Worker |
| 103205-875 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MB Psychotherapy LLC | Clinical | Current | Accepting new patients |
Locations
345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201
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": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1265017149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W. WASHINGTON AVE",
"address_2": "SUITE 301 #2011",
"city": "MADISON",
"state": "WI",
"postal_code": "537033007",
"telephone_number": "312-999-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 NORTH LAKE SHORE DRIVE",
"address_2": "SUITE 110 #1678",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-999-0201"
}
],
"practiceLocations": [
{
"address_1": "345 W. Washington Ave",
"address_2": "Suite 301 #2011",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "53703",
"country_code": "US",
"telephone_number": "312-999-0201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSS",
"first_name": "MANDI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "103205-875",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.