Individual provider Active NPI

Lee William Scott, LCSW

  • Clinical Social Worker
  • Dekalb, IL
National Provider Identifier
1306434618
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016092 Issued in IL
Practice address
1701 E Lincoln Hwy
Dekalb, IL 60115-3956
Phone
(815) 758-6550
Fax
(815) 758-4239
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 149.016092 IL Primary

Addresses

Primary practice location

1701 E Lincoln Hwy
Dekalb, IL 60115-3956

Mailing address

1701 E Lincoln Hwy
Dekalb, IL 60115-3956
Phone (815) 758-6550

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
I20250228002293 IL Practitioner - Clinical Social Worker 4789104175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - IllinoisGroup PAC ID 6800263823, 45 clinicians

Practice addresses (Care Compare)

770 N Halsted St
Suite 201B
Chicago, IL 60642-5999
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016092ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elderly Care Services of Dekalb County CurrentSince Jan 10, 2021 Accepting new patients
Thriveworks Clinical - Illinois CurrentSince Feb 24, 2025 Accepting new patients

Locations

770 N Halsted St
Ste 201B
Chicago, IL 60642
Phone (708) 397-7536

333 N Michigan Ave
Ste 1810
Chicago, IL 60601
Phone (217) 850-1133

1701 E Lincoln Hwy
DeKalb, IL 60115
Phone (815) 758-6550

Organizations & group practices 2

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1306434618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E LINCOLN HWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153956",
            "telephone_number": "815-758-6550",
            "fax_number": "815-758-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LINCOLN HWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153956",
            "telephone_number": "815-758-6550",
            "fax_number": "815-758-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LEE",
        "middle_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.