Individual provider Active NPI

Melanie Amin, LCSW

  • Clinical Social Worker
  • Gurnee, IL
National Provider Identifier
1407057581
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008147 Issued in IL
Practice address
15 Tower CT Ste 300
Gurnee, IL 60031-3346
Phone
(847) 599-3600
Fax
(847) 599-8897
NPI assigned
May 29, 2007
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 149008147 IL Primary

Addresses

Primary practice location

15 Tower CT Ste 300
Gurnee, IL 60031-3346

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 982-6715

Other practice location 1

999 Civic Center Dr
Niles, IL 60714-3224
Phone (847) 588-8460

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
I20080709000151 IL Practitioner - Clinical Social Worker 6709958713 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Lining Care LLCGroup PAC ID 2668842287, 10 clinicians

Practice addresses (Care Compare)

3100 Dundee Rd
Suite 902
Northbrook, IL 60062-2441
Phone (847) 443-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149008147ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Sep 14, 2020 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 27, 2021 Accepting new patients
Energize Group, Inc Clinical CurrentSince Jul 30, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 27, 2021 Accepting new patients
Access Community Health Network CurrentSince Sep 14, 2020 Accepting new patients
Silver Lining Care LLC CurrentSince Oct 16, 2024 Accepting new patients
Access Community Health Network Current Accepting new patients
Endeavor Health Clinical Operations PastSince Oct 24, 2021 Accepting new patients

Locations

2330 W Galena Blvd
Aurora, IL 60506
Phone (630) 896-4686

245 S Gary Ave
Ste 200
Bloomingdale, IL 60108
Phone (630) 893-5230

431 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 759-1112

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

5130 W Jackson Blvd
Chicago, IL 60644
Phone (773) 287-1429

7350 N Sheridan Rd
Chicago, IL 60626
Phone (773) 274-1000

9532 Eagle Way
Chicago, IL 60678

1020 Milwaukee Ave
Ste 229
Deerfield, IL 60015
Phone (847) 767-0552

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

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

1700 E Lake Ave
Glenview, IL 60025
Phone (847) 729-1300

15 Tower Ct
Ste 300
Gurnee, IL 60031
Phone (847) 599-3600

3100 Dundee Rd
Ste 902
Northbrook, IL 60062
Phone (847) 443-1010

4950 Madison St
Unit 1391
Skokie, IL 60076

Organizations & group practices 9

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1407057581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-982-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 300",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313346",
            "telephone_number": "847-599-3600",
            "fax_number": "847-599-8897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Civic Center Dr",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607143224",
            "country_code": "US",
            "telephone_number": "847-588-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "MELANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.