Amelia Eades Koplow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009860 Issued in IL

Practice address

3545 Lake Ave Ste 200
Wilmette, IL 60091-1058

Phone

(847) 251-7350

NPI assigned

May 30, 2018

Last updated

May 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amelia Phoebe Eades Former name

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Service Center of Wilmette Glenview Northbrook KenilworthGroup PAC ID 9739085549, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Service Center of Wilmette Glenview Northbrook Kenilworth

  dba Family Service Center

  • Marriage & Family Therapist
  • Northfield, IL
  • NPI 1750396289

  Clinical

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1316439037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 10TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912733",
            "telephone_number": "312-305-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE STE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-251-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPLOW",
        "first_name": "AMELIA",
        "middle_name": "EADES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "EADES",
            "middle_name": "PHOEBE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James W Kohl, DDS
• Craig S. Kohler, DDS.
• Andrew Eric Kohn, O.D.
• Lynett Marie Kopec-Mohr, ATR, LCPC
• Ewa Kopec, M.S., P.T.
• Isabella Christine Korsgard
• Chloe Korst, OTR/L
• Liborka Kos, M.D.
• Camille Ann Kott, APRN
• Koziol Therapy and Coaching, LLC

• Clinical Social Worker in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.

Verify at the official NPI Registry.