Active NPI
Judith Wherley, LCSW
- Clinical Social Worker
- West Dundee, IL
National Provider Identifier
1285165548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.001830
- Practice address
- 600 Spring Hill Ring Rd
Ste 100
West Dundee, IL 60118-7301 - Phone
- (630) 915-5993
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.001830 | IL | Primary |
Addresses
Primary practice location
600 Spring Hill Ring Rd
Ste 100
West Dundee, IL 60118-7301
Mailing address
600 Spring Hill Ring Rd
Ste 100
West Dundee, IL 60118-7301
Phone (630) 915-5993
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170926003765 | IL | Practitioner - Clinical Social Worker | 6305122342 | Practice locations: Villa Park, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
320 W Saint Charles Rd
Villa Park, IL 60181-2403
Phone (630) 915-5993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.001830 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1285165548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SPRING HILL RING RD",
"address_2": "STE 100",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601187301",
"telephone_number": "630-915-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SPRING HILL RING RD",
"address_2": "STE 100",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601187301",
"telephone_number": "630-915-5993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHERLEY",
"first_name": "JUDITH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.001830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.