Individual provider Active NPI

Donna Kaye Livesey, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1356756530
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014875 Issued in IL
Practice address
53 W Jackson Blvd Ste 1605
Chicago, IL 60604-3762
Phone
(773) 732-2079
NPI assigned
Jun 25, 2014
Last updated
Nov 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149014875 IL
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 149014875 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 1605
Chicago, IL 60604-3762

Mailing address

53 W Jackson Blvd Ste 1605
Chicago, IL 60604-3762
Phone (773) 732-2079

Other practice location 1

25 E Washington St
Suite 1602
Chicago, IL 60602-1708
Phone (773) 732-2079

Other practice location 2

25 E Washington St
Suite 1602
Chicago, IL 60602-1708
Phone (773) 732-2079

Other practice location 3

111 N Wabash Ave Ste 1203
Chicago, IL 60602-3095
Phone (312) 809-7016

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
I20140821001713 IL Practitioner - Clinical Social Worker 3678791399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

2845 N Sheridan Rd
Suite 809
Chicago, IL 60657-7227
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149014875ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Oct 1, 2022 Accepting new patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Jul 27, 2023 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients
Peoplepsych, LLC Clinical Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 310-4636

1725 S Wabash Ave
Chicago, IL 60616
Phone (312) 842-4400

2845 N Sheridan Rd
Ste 809
Chicago, IL 60657
Phone (312) 761-4721

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

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1356756530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043762",
            "telephone_number": "773-732-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043762",
            "telephone_number": "773-732-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Washington St",
            "address_2": "Suite 1602",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021708",
            "country_code": "US",
            "telephone_number": "773-732-2079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 E Washington St",
            "address_2": "Suite 1602",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021708",
            "country_code": "US",
            "telephone_number": "773-732-2079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Wabash Ave Ste 1203",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023095",
            "country_code": "US",
            "telephone_number": "312-809-7016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVESEY",
        "first_name": "DONNA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149014875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.