Individual provider Active NPI

Cathy Drucker, LCSW

  • Clinical Social Worker
  • Lincolnshire, IL
National Provider Identifier
1295125680
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017307 Issued in IL
Practice address
16595 W Easton Ave
Lincolnshire, IL 60069-2744
Phone
(602) 332-8648
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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 149017307 IL Primary

Addresses

Primary practice location

16595 W Easton Ave
Lincolnshire, IL 60069-2744

Mailing address

16595 W Easton Ave
Lincolnshire, IL 60069-2744
Phone (602) 332-8648

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
I20230303000628 IL Practitioner - Clinical Social Worker 8729451216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

175 Olde Half Day Rd
Suite 103
Lincolnshire, IL 60069-3026
Phone (847) 331-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
149017307ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cathy J Drucker LCSW PC Clinical CurrentSince Dec 15, 2022 Accepting new patients

Locations

175 Olde Half Day Rd
Ste 103
Lincolnshire, IL 60069
Phone (224) 225-9650

16595 W Easton Ave
Prairieview, IL 60069
Phone (708) 899-6355

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1295125680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16595 W EASTON AVE",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692744",
            "telephone_number": "602-332-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16595 W EASTON AVE",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692744",
            "telephone_number": "602-332-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKER",
        "first_name": "CATHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

Verify at the official NPI Registry.