Individual provider Active NPI

Megan Mantilla, LCSW

  • Clinical Social Worker
  • West Dundee, IL
National Provider Identifier
1457846636
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025209 Issued in IL
Practice address
1829 Canterfield Pkwy W
West Dundee, IL 60118-9021
Phone
(224) 223-1144
NPI assigned
Jun 29, 2018
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801108376 MI
Clinical Social Worker 1041C0700X 9644 FL
Clinical Social Worker 1041C0700X 095794 NY
Clinical Social Worker 1041C0700X LC200002376 DC
Clinical Social Worker 1041C0700X 34012010A IN
Clinical Social Worker 1041C0700X TLS213CP SC
Clinical Social Worker 1041C0700X 30037 MD
Clinical Social Worker 1041C0700X 149.025209 IL Primary
Clinical Social Worker 1041C0700X 0904014947 VA

Addresses

Primary practice location

1829 Canterfield Pkwy W
West Dundee, IL 60118-9021

Mailing address

244 S Randall Rd
Elgin, IL 60123-5529
Phone (224) 223-1144

Other names 1

  • Megan Losik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 22, 2024 through Oct 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200002376DCMDClinical Social Worker
149.025209ILMDClinical Social Worker
34012010AINMDClinical Social Worker
6801108376MIMDClinical Social Worker
095794NYMDClinical Social Worker
TLS213CPSCMDClinical Social Worker
0904014947VAMDClinical Social Worker
30037MDMDPharmacist
9644FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MML Therapy, PLLC Clinical Past Accepting new patients

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, 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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1457846636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235529",
            "telephone_number": "224-223-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 CANTERFIELD PKWY W",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601189021",
            "telephone_number": "224-223-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTILLA",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "9644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095794",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012010A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "TLS213CP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30037",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025209",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LOSIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Dundee, IL

Sources for this page

Verify at the official NPI Registry.