Maya Elrose Durfee O'Brien

Individual provider Active NPI Clinical Social Worker · Bismarck, IL

NPI 1497617260 · NPPES record last updated Aug 3, 2026

Key facts

NPI
1497617260
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.030448 (IL)
Practice address
204 S Chicago Ave
Bismarck, IL 61814-5175
Phone
(402) 706-7873
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLC (133 clinicians)

Practice addresses (Care Compare)

1701 N Bowman Ave Rd
Danville, IL 61832-2200
Phone (217) 443-2955

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260112001154 IL Practitioner - Clinical Social Worker 8729564596 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149030448ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC Current
since Dec 7, 2025
Accepting new patients

Locations

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149030448 IL
School Social Worker 1041S0200X 149030448 IL
Clinical Social Worker 1041C0700X 149.030448 IL Yes

Addresses

Primary practice location

204 S Chicago Ave
Bismarck, IL 61814-5175

Mailing address

204 S Chicago Ave
Bismarck, IL 61814-5175

Other providers in Bismarck, IL

All providers in Bismarck, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.