Individual provider Active NPI

Miriam Wade

  • Clinical Social Worker
  • Oswego, IL
National Provider Identifier
1447805155
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149002778 Issued in IL
Practice address
84 Templeton Dr Ste 103
Oswego, IL 60543-7015
Phone
(630) 844-2662
Fax
(630) 844-3084
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 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 149002778 IL Primary

Addresses

Primary practice location

84 Templeton Dr Ste 103
Oswego, IL 60543-7015

Mailing address

70 S River St
Aurora, IL 60506-5185
Phone (630) 844-8226

Other practice location 1

70 S River St
Aurora, IL 60506-5185
Phone (630) 844-8226

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713002775 IL Practitioner - Psychiatry 7315360120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loyola University of Chicago, Stritch School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

70 S River St
Aurora, IL 60506-5185
Phone (630) 844-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149002778ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service of Aurora Current Accepting new patients
Family Counseling Service of Aurora CurrentSince Mar 20, 2020 Accepting new patients

Locations

70 S River St
Aurora, IL 60506
Phone (630) 844-2662

84 Templeton Dr
Ste 103
Oswego, IL 60543
Phone (630) 844-2662

Organizations & group practices 2

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1447805155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S RIVER ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605065185",
            "telephone_number": "630-844-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 TEMPLETON DR STE 103",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437015",
            "telephone_number": "630-844-2662",
            "fax_number": "630-844-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S River St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065185",
            "country_code": "US",
            "telephone_number": "630-844-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "MIRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.