Individual provider Active NPI

Steven R Lindahl, LCSW

  • Clinical Social Worker
  • West Dundee, IL
National Provider Identifier
1275602674
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012035 Issued in IL
Practice address
600 Spring Hill Ring Rd
Suite #106
West Dundee, IL 60118-7300
Phone
(630) 202-3610
Fax
(847) 658-4381
NPI assigned
Nov 7, 2006
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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 149012035 IL Primary

Addresses

Primary practice location

600 Spring Hill Ring Rd
Suite #106
West Dundee, IL 60118-7300

Mailing address

577 Woods Creek LN
Algonquin, IL 60102-6820
Phone (630) 202-3610

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
I20120912000535 IL Practitioner - Clinical Social Worker 0244488401 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Algonquin, IL; Geneva, IL; West Dundee, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Algonquin, IL 60102
Phone (630) 202-3610

600 Spring Hill Ring Rd
Suite 106
West Dundee, IL 60118-7301
Phone (630) 202-3610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ecker Center for Behavioral Health CurrentSince Feb 9, 2015 Accepting new patients
Ecker Center for Behavioral Health CurrentSince Feb 9, 2015 Accepting new patients
Ecker Center for Behavioral Health Clinical Current Accepting new patients
Steven R. Lindahl Clinical PastSince Apr 29, 2012 Accepting new patients

Locations

1845 Grandstand Pl
Elgin, IL 60123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1275602674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 WOODS CREEK LN",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026820",
            "telephone_number": "630-202-3610",
            "fax_number": "847-658-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD",
            "address_2": "SUITE #106",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187300",
            "telephone_number": "630-202-3610",
            "fax_number": "847-658-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAHL",
        "first_name": "STEVEN",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

Verify at the official NPI Registry.