Individual provider Active NPI

Mandi Buss, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1265017149
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016096 Issued in IL
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

Updated by the provider on Oct 3, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427001690 IL Practitioner - Clinical Social Worker 1355759655 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
149016096ILMDClinical Social Worker
103205-875WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.