Individual provider Active NPI

Carolina Manrriquez, MSW, LSW

  • Clinical Social Worker
  • Libertyville, IL
National Provider Identifier
1417678145
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149029674 Issued in IL
Practice address
900 Technology Way Ste 320
Libertyville, IL 60048-5364
Phone
(847) 680-2715
Fax
(847) 680-3832
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 149029674 IL Primary

Addresses

Primary practice location

900 Technology Way Ste 320
Libertyville, IL 60048-5364

Mailing address

900 Technology Way Ste 320
Libertyville, IL 60048-5364
Phone (847) 680-2715

Other practice location 1

THREE w HAWTHRON PARKWAY
Suite 120
Vernon Hills, IL 60061
Phone (847) 680-2715

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
I20250819001286 IL Practitioner - Clinical Social Worker 1153820949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Connection IncGroup PAC ID 8628033008, 9 clinicians

Practice addresses (Care Compare)

900 Technology Way
Suite 320
Libertyville, IL 60048-5364
Phone 8476802715221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connection Inc. Clinical CurrentSince Jul 30, 2025 Accepting new patients

Locations

900 Technology Way
Ste 320
Libertyville, IL 60048
Phone (847) 680-2715

3 W Hawthorn Pkwy
Ste 120
Vernon Hills, IL 60061
Phone (847) 680-2715

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1417678145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TECHNOLOGY WAY STE 320",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485364",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TECHNOLOGY WAY STE 320",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485364",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "THREE w HAWTHRON PARKWAY",
            "address_2": "SUITE 120",
            "address_purpose": "LOCATION",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "country_code": "US",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRRIQUEZ",
        "first_name": "CAROLINA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149029674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.