Individual provider Active NPI

Mary Arbuthnot, LCSW

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1487827572
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009094 Issued in IL
Practice address
26 W Saint Charles Rd
Lombard, IL 60148-2229
Phone
(800) 240-7011
Fax
(630) 495-9854
NPI assigned
Apr 9, 2008
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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 149009094 IL Primary

Addresses

Primary practice location

26 W Saint Charles Rd
Lombard, IL 60148-2229

Mailing address

203 N Ottawa St
Joliet, IL 60432-4006
Phone (800) 240-7011

Other names 1

  • Mary Houlihan Former name

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
I20110512000144 IL Practitioner - Clinical Social Worker 7214113034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barrington Behavioral Health and Wellness PCGroup PAC ID 6608099163, 11 clinicians

Practice addresses (Care Compare)

1242 W Northwest Hwy
Suite 6
Palatine, IL 60067-1897
Phone (888) 261-2178

795 Ela Rd
Suite 216
Lake Zurich, IL 60047-6307
Phone (888) 261-2178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149009094ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Behavioral Health & Wellness PC CurrentSince Oct 27, 2018 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Catholic Charities of the Diocese of Joliet Past Accepting new patients

Locations

290 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-2454

290 N Rand Rd
Ste D
Lake Zurich, IL 60047
Phone (888) 261-2178

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1487827572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324006",
            "telephone_number": "800-240-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W SAINT CHARLES RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482229",
            "telephone_number": "800-240-7011",
            "fax_number": "630-495-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBUTHNOT",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HOULIHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.