Individual provider Active NPI

Charlotte Walker, LCSW

  • Clinical Social Worker
  • Des Plaines, IL
National Provider Identifier
1437785136
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019798 Issued in IL
Practice address
1585 Ellinwood Ave Ste 106
Des Plaines, IL 60016-4535
Phone
(847) 877-3970
NPI assigned
Mar 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

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 149019798 IL Primary

Addresses

Primary practice location

1585 Ellinwood Ave Ste 106
Des Plaines, IL 60016-4535

Mailing address

229 Woodbine Ave
Wilmette, IL 60091-3331
Phone (847) 207-3966

Other names 1

  • Charlotte Royal Former name

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
I20200520003562 IL Practitioner - Clinical Social Worker 1951732213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nancy Eschbach LCSW and AssociatesGroup PAC ID 9638433915, 7 clinicians

Practice addresses (Care Compare)

636 S River Rd
Suite 100
Des Plaines, IL 60016-4624
Phone (847) 877-3970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Eschbach LCSW and Associates Clinical CurrentSince Apr 5, 2020 Accepting new patients

Locations

1585 Ellinwood Ave
Ste 106
Des Plaines, IL 60016
Phone (847) 877-3970

636 S River Rd
Ste 100
Des Plaines, IL 60016
Phone (847) 877-3970

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": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1437785136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WOODBINE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913331",
            "telephone_number": "847-207-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 ELLINWOOD AVE STE 106",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164535",
            "telephone_number": "847-877-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CHARLOTTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "ROYAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.