Individual provider Active NPI

Lauren Ashley Caccamo, MSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1366937583
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5115 N Ravenswood Ave
Chicago, IL 60640-2712
Phone
(773) 271-7909
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

5115 N Ravenswood Ave
Chicago, IL 60640-2712

Mailing address

717 N Elmhurst Ave
Mt Prospect, IL 60056-2017
Phone (847) 899-5219

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
I20220816000516 IL Practitioner - Clinical Social Worker 4385027937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Caccamo Wellness, PLLC CurrentSince Jul 16, 2023 Accepting new patients
Lauren Caccamo Wellness, PLLC CurrentSince May 7, 2026 Accepting new patients
Ravenswood Counseling Center CurrentSince Jul 11, 2022 Accepting new patients

Locations

4611 N Ravenswood Ave
Ste 105
Chicago, IL 60640
Phone (773) 201-0060

5115 N Ravenswood Ave
Fl 2
Chicago, IL 60640
Phone (312) 925-7800

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1366937583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N ELMHURST AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562017",
            "telephone_number": "847-899-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402712",
            "telephone_number": "773-271-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCAMO",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.