Tedd W. McCauley, MSSA
Individual provider Active NPI Clinical Social Worker · Channahon, IL
NPI 1295840650 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1295840650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149006168 (IL)
- Practice address
- 24735 W Eames St Unit 11
Channahon, IL 60410-8712 - Phone
- (815) 290-5076
- Fax
- (815) 467-4938
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149006168 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tedd W. McCauley, LCSW & Associates, PC | Clinical | Current | Accepting new patients |
| Jeffry Manasse & Assoc PC | Past |
Accepting new patients |
Locations
24735 W Eames St
Unit 11
Channahon, IL 60410
Phone (815) 290-5076
608 S Washington St
Ste 200
Naperville, IL 60540
Phone (630) 305-0075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149006168 | IL | Yes |
Addresses
Primary practice location
24735 W Eames St Unit 11
Channahon, IL 60410-8712
Mailing address
24318 S Pueblo Dr
Channahon, IL 60410-3206
Phone (630) 305-0075
Other practice location 1
608 S Washington St Ste 200
Naperville, IL 60540-6661
Phone (630) 305-0075
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149006168 | Other | IL | LCSW |
Other providers in Channahon, IL
- Renee Lukos
- Christa Lynn Mahoney
- Marathon Health, LLC
- Marathon Health, LLC
- Joan M. McAtee
- Renee A McIlheran
- Kelly Melzer McHale
- Isaac Mezo
- Milestones Matter, Inc
- Christopher Wayne Miller
All providers in Channahon, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.