Individual provider Active NPI

Eleanor Claire Mulshine I, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1497483895
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021413 Issued in IL
Practice address
30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611
Phone
(773) 345-3495
Fax
(855) 792-0240
NPI assigned
Aug 12, 2022
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 149.021413 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611

Mailing address

30 N Michigan Ave Ste 2029
Chicago, IL 60602-3611
Phone (773) 345-3495

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
I20221004001816 IL Practitioner - Clinical Social Worker 4789060492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sherrie D All, PHD, PCGroup PAC ID 7618121922, 10 clinicians

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 1621
Chicago, IL 60602-3669
Phone 85526493550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021413ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrie D All, PHD, PC CurrentSince Sep 15, 2022 Accepting new patients

Locations

30 N Michigan Ave
Ste 1621
Chicago, IL 60602
Phone (773) 508-4788

30 N Michigan Ave
Ste 2029
Chicago, IL 60602
Phone (773) 345-3495

6033 N Sheridan Rd
Ste S7
Chicago, IL 60660
Phone (708) 320-8801

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, 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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1497483895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 2029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023611",
            "telephone_number": "773-345-3495",
            "fax_number": "855-792-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 2029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023611",
            "telephone_number": "773-345-3495",
            "fax_number": "855-792-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULSHINE",
        "first_name": "ELEANOR",
        "middle_name": "CLAIRE",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.