Individual provider Active NPI

Mellisa Gebre-Michael, LCSW

  • Clinical Social Worker
  • Arlington Heights, IL
National Provider Identifier
1467326256
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
027950 Issued in IL
Practice address
3205 N Wilke Rd Ste 127
Arlington Heights, IL 60004-0001
Phone
(224) 764-0729
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 027950 IL Primary

Addresses

Primary practice location

3205 N Wilke Rd Ste 127
Arlington Heights, IL 60004-0001

Mailing address

3205 N Wilke Rd Ste 127
Arlington Heights, IL 60004-0001
Phone (224) 764-0729

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
I20260618000573 IL Practitioner - Clinical Social Worker 2769954981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

263 Skokie Blvd
Northbrook, IL 60062-1611
Phone (847) 564-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027950ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Butterfly Therapy Group PastSince Oct 5, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1467326256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N WILKE RD STE 127",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600040001",
            "telephone_number": "224-764-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 N WILKE RD STE 127",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600040001",
            "telephone_number": "224-764-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRE-MICHAEL",
        "first_name": "MELLISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "027950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.