Individual provider Active NPI

Todd McCarty, LCSW, MFA

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1316614308
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023556 Issued in IL
Practice address
1421 W Berwyn Ave Apt 2
Chicago, IL 60640-8436
Phone
(312) 767-8220
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.023556 IL Primary

Addresses

Primary practice location

1421 W Berwyn Ave Apt 2
Chicago, IL 60640-8436

Mailing address

1421 W Berwyn Ave Apt 2
Chicago, IL 60640-8436
Phone (312) 767-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 23, 2021 through Sep 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Fine Arts

State licenses

LicenseStateTypeSpecialty
149.023556ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Psychotherapy PLLC Clinical CurrentSince Aug 11, 2024 Accepting new patients
Meridian Psychiatric Partners, LLC PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1316614308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 W BERWYN AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408436",
            "telephone_number": "312-767-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 W BERWYN AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408436",
            "telephone_number": "312-767-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "TODD",
        "credential": "LCSW, MFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.