Organization Active NPI

Tedd W. McCauley, LCSW & Associates, PC

  • Clinical Social Worker
  • Channahon, IL
National Provider Identifier
1487154365
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-006168 Issued in IL
Legal business name
TEDD W. MCCAULEY, LCSW & ASSOCIATES, PC
Practice address
24735 W Eames St Unit 11
Channahon, IL 60410-8712
Phone
(815) 290-5076
NPI assigned
Feb 16, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Tedd Weston McCauley, LCSWNPI 1295840650
Title
Owner
Phone
(815) 467-4937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-006168 IL Primary

Addresses

Primary practice location

24735 W Eames St Unit 11
Channahon, IL 60410-8712

Mailing address

24318 S Pueblo Dr
Channahon, IL 60410-3206
Phone (815) 467-4937

Other practice location 1

608 S Washington St Ste 200
Naperville, IL 60540-6661
Phone (630) 305-0075

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1487154365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 S PUEBLO DR",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604103206",
            "telephone_number": "815-467-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24735 W EAMES ST UNIT 11",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108712",
            "telephone_number": "815-290-5076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 S Washington St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406661",
            "country_code": "US",
            "telephone_number": "630-305-0075",
            "fax_number": "630-305-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEDD W. MCCAULEY, LCSW & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "TEDD",
        "authorized_official_middle_name": "WESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-467-4937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-006168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Channahon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.