Individual provider Active NPI

Mistie Drews

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1508331976
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149025418 Issued in IL
Practice address
1630 Plum St
Aurora, IL 60506-3462
Phone
(630) 200-0927
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149025418 IL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1630 Plum St
Aurora, IL 60506-3462

Mailing address

1630 Plum St
Aurora, IL 60506-3462

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
I20241106002757 IL Practitioner - Clinical Social Worker 5294269718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149025418ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Lifestance Health CurrentSince Mar 30, 2025 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients
Association for Individual Development Past Accepting new patients

Locations

2124 Ogden Ave
Ste 301
Aurora, IL 60504
Phone (331) 227-5496

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

7900 Cass Ave
Ste 200
Darien, IL 60561
Phone (630) 581-7134

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

Organizations & group practices 4

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1508331976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 PLUM ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PLUM ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063462",
            "telephone_number": "630-200-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWS",
        "first_name": "MISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025418",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.