Individual provider Active NPI

Austin Wade Howald, LCSW

  • Clinical Social Worker
  • Bloomington, IL
National Provider Identifier
1275244741
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028221 Issued in IL
Practice address
212 S Hershey Rd
Bloomington, IL 61704-4524
Phone
(309) 270-2728
NPI assigned
Dec 6, 2022
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.109801 IL
Clinical Social Worker 1041C0700X 149.028221 IL Primary

Addresses

Primary practice location

212 S Hershey Rd
Bloomington, IL 61704-4524

Mailing address

8420 N Knoxville Ave
Suite C #1099
Peoria, IL 61615-4524
Phone (309) 270-2728

Other practice location 1

1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone (888) 924-3786

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
I20241209000497 IL Practitioner - Clinical Social Worker 0749716280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

Practice addresses (Care Compare)

1440 W Taylor St
Chicago, IL 60607-4623
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.109801ILMDSocial Worker
149.028221ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc. CurrentSince Nov 20, 2024 Accepting new patients
Chestnut Health Systems Inc CurrentSince Nov 20, 2024 Accepting new patients
Brightside Medical, P.a. CurrentSince Jun 1, 2025 Accepting new patients
Austin Howald Counseling, PLLC Social Worker CurrentSince Jul 22, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

702 W Chestnut St
Bloomington, IL 61701
Phone (309) 557-1400

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

448 Wylie Dr
Normal, IL 61761
Phone (844) 973-6887

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": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1275244741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 N KNOXVILLE AVE",
            "address_2": "SUITE C #1099",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616154524",
            "telephone_number": "309-270-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S HERSHEY RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044524",
            "telephone_number": "309-270-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Martin Luther King Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617011429",
            "country_code": "US",
            "telephone_number": "888-924-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWALD",
        "first_name": "AUSTIN",
        "middle_name": "WADE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.109801",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.