Individual provider Active NPI

Thomas Slonka, LCSW, CADC

  • Clinical Social Worker
  • Hinsdale, IL
National Provider Identifier
1386765642
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.002799 Issued in IL
Practice address
8 Salt Creek LN Ste 202
Hinsdale, IL 60521-2903
Phone
(331) 221-2505
Fax
(331) 221-2719
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.002799 IL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16634 IL

Addresses

Primary practice location

8 Salt Creek LN Ste 202
Hinsdale, IL 60521-2903

Mailing address

8 Salt Creek LN Ste 202
Hinsdale, IL 60521-2903
Phone (331) 221-2505

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tslonka48496@direct.edward.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
I20041101000258 IL Practitioner - Clinical Social Worker 2365404506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

8 Salt Creek LN
Hinsdale, IL 60521-2903

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16634ILMDAddiction (Substance Use Disorder) Counselor
149.002799ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Jul 1, 2015 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 26, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Edward Health Ventures CurrentSince Jul 1, 2015 Accepting new patients
Elmhurst Memorial Hospital Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

8 Salt Creek Ln
Ste 202
Hinsdale, IL 60521
Phone (331) 221-2505

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

Organizations & group practices 5

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1386765642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SALT CREEK LN STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212903",
            "telephone_number": "331-221-2505",
            "fax_number": "331-221-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SALT CREEK LN STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212903",
            "telephone_number": "331-221-2505",
            "fax_number": "331-221-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONKA",
        "first_name": "THOMAS",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.002799",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "16634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tslonka48496@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8 Salt Creek Ln Ste 202",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605212903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.