Individual provider Active NPI

Angela McLean, LCSW

  • Clinical Social Worker
  • Wilmette, IL
National Provider Identifier
1316466568
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14902247 Issued in IL
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

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
150102401ILMDMental Health Counselor
14902247ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angela McLean Psychotherapy, Inc. Clinical CurrentSince Mar 4, 2021 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.

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.

Verify at the official NPI Registry.