Individual provider Active NPI

Eric Lindquist, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1528580396
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019543 Issued in IL
Practice address
555 S Perryville Rd Ste 124
Rockford, IL 61108-2522
Phone
(815) 997-2475
Fax
(844) 927-4623
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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 149.019543 IL Primary

Addresses

Primary practice location

555 S Perryville Rd Ste 124
Rockford, IL 61108-2522

Mailing address

731 Lundvall Ave
Rockford, IL 61107-3320
Phone (815) 997-2475

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
I20171222000905 IL Practitioner - Clinical Social Worker 3577821446 Practice locations: Rockford, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6735 Vistagreen Way
Suite 210
Rockford, IL 61107-5654
Phone (815) 997-2475

7294 Argus Dr
Rockford, IL 61107-5837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019543ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lindquist Counseling PLLC Clinical CurrentSince Aug 17, 2025 Accepting new patients
Forest City Counseling, LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

555 S Perryville Rd
Ste 124
Rockford, IL 61108
Phone (815) 997-2475

7294 Argus Dr
Rockford, IL 61107
Phone (815) 391-3055

6735 Vistagreen Way
Ste 210
Rockford, IL 61107
Phone (815) 391-3055

Organizations & group practices 2

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1528580396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 LUNDVALL AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073320",
            "telephone_number": "815-997-2475",
            "fax_number": "815-904-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S PERRYVILLE RD STE 124",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082522",
            "telephone_number": "815-997-2475",
            "fax_number": "844-927-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDQUIST",
        "first_name": "ERIC",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.