Active NPI
Carolyn E Schaefer Placko, LCSW
- Clinical Social Worker
- Park Ridge, IL
National Provider Identifier
1467762625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.013065
- Practice address
- 350 S Northwest Hwy
Ste 300
Park Ridge, IL 60068-4262 - Phone
- (224) 901-2029
- Fax
- (847) 518-5335
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.013065 | IL | Primary |
Addresses
Primary practice location
350 S Northwest Hwy
Ste 300
Park Ridge, IL 60068-4262
Mailing address
2500 Windsor Mall
1H
Park Ridge, IL 60068-3693
Phone (224) 901-2029
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170301001663 | IL | Practitioner - Clinical Social Worker | 8426332941 | Practice locations: Park Ridge, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
350 S Northwest Hwy
Suite 300
Park Ridge, IL 60068-4262
Phone (224) 901-2029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.013065 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1467762625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WINDSOR MALL",
"address_2": "1H",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683693",
"telephone_number": "224-901-2029",
"fax_number": "847-518-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S NORTHWEST HWY",
"address_2": "STE 300",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684262",
"telephone_number": "224-901-2029",
"fax_number": "847-518-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACKO",
"first_name": "CAROLYN",
"middle_name": "E SCHAEFER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.013065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.