Active NPI
Megan Mantilla, LCSW
- Clinical Social Worker
- West Dundee, IL
National Provider Identifier
1457846636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.025209
- Practice address
- 1829 Canterfield Pkwy W
West Dundee, IL 60118-9021 - Phone
- (224) 223-1144
- NPI assigned
- Jun 29, 2018
- Last updated
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC200002376 | DC | MD | Clinical Social Worker |
| 149.025209 | IL | MD | Clinical Social Worker |
| 34012010A | IN | MD | Clinical Social Worker |
| 6801108376 | MI | MD | Clinical Social Worker |
| 095794 | NY | MD | Clinical Social Worker |
| TLS213CP | SC | MD | Clinical Social Worker |
| 0904014947 | VA | MD | Clinical Social Worker |
| 30037 | MD | MD | Pharmacist |
| 9644 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- West Dundee, IL
- NPI 1942141445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.