Individual provider Active NPI

Courtney Michelle Adams, LCSW

  • Clinical Social Worker
  • Carol Stream, IL
National Provider Identifier
1396614905
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027805 Issued in IL
Practice address
1387 Appomattox TRL
Carol Stream, IL 60188-9047
Phone
(630) 639-1772
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.027805 IL Primary

Addresses

Primary practice location

1387 Appomattox TRL
Carol Stream, IL 60188-9047

Mailing address

1387 Appomattox TRL
Carol Stream, IL 60188-9047
Phone (630) 639-1772

Other practice location 1

649 Barron Blvd
Grayslake, IL 60030-1343
Phone (815) 200-8520

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
I20251203000220 IL Practitioner - Clinical Social Worker 4981197597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriving Sparrow Counseling and Wellness, PLLCGroup PAC ID 1153708755, 5 clinicians

Practice addresses (Care Compare)

649 Barron Blvd
Grayslake, IL 60030-1343
Phone (815) 200-8520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.027805ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Sparrow Counseling & Wellness, PLLC Clinical CurrentSince Nov 6, 2025 Accepting new patients

Locations

649 Barron Blvd
Grayslake, IL 60030
Phone (815) 200-8520

5320 W Elm St
McHenry, IL 60050
Phone (815) 200-8520

Organizations & group practices 1

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1396614905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 APPOMATTOX TRL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889047",
            "telephone_number": "630-639-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 APPOMATTOX TRL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889047",
            "telephone_number": "630-639-1772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 Barron Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600301343",
            "country_code": "US",
            "telephone_number": "815-200-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.