Active NPI
Angela McLean, LCSW
- Clinical Social Worker
- Wilmette, IL
National Provider Identifier
1316466568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14902247
- Practice address
- 1167 Wilmette Ave Ste 201
Wilmette, IL 60091-2643 - Phone
- (312) 882-6792
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 150102401 | IL | |
| Clinical Social Worker | 1041C0700X | 14902247 | IL | Primary |
Addresses
Primary practice location
1167 Wilmette Ave Ste 201
Wilmette, IL 60091-2643
Mailing address
1167 Wilmette Ave Ste 201
Wilmette, IL 60091-2643
Phone (312) 882-6792
Other practice location 1
2645 Asbury Ave
Evanston, IL 60201-1605
Phone (312) 882-6792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150102401 | IL | MD | Mental Health Counselor |
| 14902247 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela McLean Psychotherapy, Inc. | Clinical | Current | Accepting new patients |
Locations
1167 Wilmette Ave
Ste 201
Wilmette, IL 60091
Phone (312) 882-6792
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.
-
- Clinical Social Worker
- Wilmette, IL
- NPI 1841884889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1316466568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 WILMETTE AVE STE 201",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912643",
"telephone_number": "312-882-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 WILMETTE AVE STE 201",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912643",
"telephone_number": "312-882-6792"
}
],
"practiceLocations": [
{
"address_1": "2645 Asbury Ave",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011605",
"country_code": "US",
"telephone_number": "312-882-6792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "ANGELA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150102401",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "14902247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.