Mathew Diedrich, MSW, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026122 Issued in IL

Practice address

6347 N Wayne Ave Apt 2N
Chicago, IL 60660-1611

Phone

(312) 833-0655

NPI assigned

Aug 6, 2019

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• One Breath at a Time Counseling, PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1598535502

  Addiction (Substance Use Disorder)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1457906521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 N WAYNE AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601611",
            "telephone_number": "312-833-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6347 N WAYNE AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601611",
            "telephone_number": "312-833-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Church St Ste 520",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602014581",
            "country_code": "US",
            "telephone_number": "312-833-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEDRICH",
        "first_name": "MATHEW",
        "credential": "MSW, LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "35995",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyubomyr Didych
• Brittany P. Diec, PA-C
• Erin Leigh Dieckhoff, LCPC
• Kelsey Jeanette Diederich, LSW
• Erin Colette Diedling, M.ED., LCPC
• Lily Diego-Johnson, LSW
• Abigayil Cassandre Dieguez, MD
• Aaron P Diehl, DDS
• Douglas A Diekevers, DPM
• Yakima S Diemer, LPC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.