Carly Belle Zolecki, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.105514 Issued in IL

Practice address

1207 McHenry Rd Ste 217B
Buffalo Grove, IL 60089-1371

Phone

(224) 676-9800

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carly Belle Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1508466624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 APPLETREE CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 MCHENRY RD STE 217B",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891371",
            "telephone_number": "224-676-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Appletree Ct",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600623402",
            "country_code": "US",
            "telephone_number": "847-226-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLECKI",
        "first_name": "CARLY",
        "middle_name": "BELLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.105514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MITCHELL",
            "middle_name": "BELLE",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elana Zelden
• Sarah Jane Zelms, OTR/L
• James Robert Ziah, D.D.S.
• Camille Ziemba
• Zion Family Medicine P.C.

• Social Worker in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.