Individual provider Active NPI

Meghan Leona Timmerman, MSW INTERN

  • Clinical Social Worker
  • Dekalb, IL
National Provider Identifier
1316567969
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028936 Issued in IL
Practice address
1325 Sycamore Rd
Dekalb, IL 60115-2483
Phone
(815) 758-8616
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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
Clinical Social Worker 1041C0700X 149028936 IL Primary

Addresses

Primary practice location

1325 Sycamore Rd
Dekalb, IL 60115-2483

Mailing address

215 N Bridge Rd
Dekalb, IL 60115-9513
Phone (630) 664-3127

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cparks@fsadekalbcounty.org Direct

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
I20251111001508 IL Practitioner - Clinical Social Worker 4688165301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

1212 S 2ND St
Dekalb, IL 60115-4435
Phone (815) 758-8151

500 Asbury Ave
Evanston, IL 60202-2724
Phone (847) 316-3320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149028936ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Dekalb County, Inc. CurrentSince Nov 19, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Oct 31, 2025 Accepting new patients
Family Service Agency of Dekalb County, Inc. CurrentSince Apr 26, 2020 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1325 Sycamore Rd
DeKalb, IL 60115
Phone (815) 758-8616

Organizations & group practices 3

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1316567969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N BRIDGE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159513",
            "telephone_number": "630-664-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152483",
            "telephone_number": "815-758-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "MEGHAN",
        "middle_name": "LEONA",
        "name_prefix": "Mrs.",
        "credential": "MSW INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cparks@fsadekalbcounty.org",
            "affiliation": "N",
            "endpointDescription": "Asst exc. Director",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1325 Sycamore Rd",
            "city": "Dekalb",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601152483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.