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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260112001154 | IL | Practitioner - Clinical Social Worker | 8729564596 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149030448 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Healthcare LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Bismarck Community Ambulance Service Inc
- Bismarck Community Fire Protection District
- Community Unit School Dist 1
- Michael Henry
- Garry James Hinkle I
- Amanda Suzanne Potter
- Kathy Ann Watson
All providers in Bismarck, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.