Individual provider Active NPI

Casey Catherinemary Castle, LCSW

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1497381735
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018703 Issued in IL
Practice address
800 Roosevelt Rd Ste E220
Glen Ellyn, IL 60137-5868
Phone
(630) 239-1670
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 149018703 IL Primary

Addresses

Primary practice location

800 Roosevelt Rd Ste E220
Glen Ellyn, IL 60137-5868

Mailing address

800 Roosevelt Rd Ste E220
Glen Ellyn, IL 60137-5868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 12, 2024 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149018703ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Counseling PLLC Clinical Current Accepting new patients

Locations

800 Roosevelt Rd
Ste E220
Glen Ellyn, IL 60137
Phone (630) 469-1527

Organizations & group practices 1

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1497381735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375868",
            "telephone_number": "630-239-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "CASEY",
        "middle_name": "CATHERINEMARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.