Individual provider Active NPI

Cristol S Klicker, LCSW

  • Clinical Social Worker
  • Morton, IL
National Provider Identifier
1306547880
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149030205 Issued in IL
Practice address
344 S Glen Ave
Morton, IL 61550-1914
Phone
(217) 761-4942
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 149030205 IL Primary

Addresses

Primary practice location

344 S Glen Ave
Morton, IL 61550-1914

Mailing address

4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Phone (630) 423-6425

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
I20251020001863 IL Practitioner - Clinical Social Worker 7214425552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1772 Melbourne LN
Aurora, IL 60503-7601

29 W740 Wembly Dr
Warrenville, IL 60555-1452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149030205ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Online Counseling LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

4320 Winfield Rd
Ste 200
Warrenville, IL 60555
Phone (630) 410-9587

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, 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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1306547880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554023",
            "telephone_number": "630-423-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 S GLEN AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501914",
            "telephone_number": "217-761-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICKER",
        "first_name": "CRISTOL",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149030205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

Verify at the official NPI Registry.