Individual provider Active NPI

Marie Kilvington, LCSW

  • Clinical Social Worker
  • West Dundee, IL
National Provider Identifier
1427630581
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020856 Issued in IL
Practice address
618 S 5TH St
West Dundee, IL 60118-2830
Phone
(407) 312-1081
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 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 149020856 IL Primary

Addresses

Primary practice location

618 S 5TH St
West Dundee, IL 60118-2830

Mailing address

618 S 5TH St
West Dundee, IL 60118-2830
Phone (407) 312-1081

Other identifiers 1

IdentifierTypeStateIssuer
149020856OtherILLCSW

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
I20231006000720 IL Practitioner - Clinical Social Worker 8628423951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Psychiatric Services PLLCGroup PAC ID 6204837388, 16 clinicians
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

1 Westbrook Corporate Ctr
Suite 300
Westchester, IL 60154-5709
Phone (708) 375-3075

180 W Park Ave
Suite 150
Elmhurst, IL 60126-3348
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149020856ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychiatric Services PLLC CurrentSince Nov 9, 2024 Accepting new patients
Geriatric Psychiatric Services PLLC CurrentSince Nov 9, 2024 Accepting new patients
Geriatric Psychiatric Services PLLC Current Accepting new patients
Edgewood Clinical Services, P.C. Clinical CurrentSince Aug 7, 2023 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

180 W Park Ave
Ste 150
Elmhurst, IL 60126
Phone (630) 235-8089

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1427630581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 5TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182830",
            "telephone_number": "407-312-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S 5TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182830",
            "telephone_number": "407-312-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILVINGTON",
        "first_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149020856",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

Verify at the official NPI Registry.