Individual provider Active NPI

Carie Johnstone, LCSW

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1578088951
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
450 E 22ND St
Lombard, IL 60148-6113
Phone
(815) 530-0555
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 Primary

Addresses

Primary practice location

450 E 22ND St
Lombard, IL 60148-6113

Mailing address

450 E 22ND St
Lombard, IL 60148-6113
Phone (815) 530-0555

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
I20190205002058 IL Practitioner - Clinical Social Worker 1557609294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Madrigal Consulting and Counseling LLPGroup PAC ID 8820336563, 6 clinicians

Practice addresses (Care Compare)

450 E 22ND St
Suite 158
Lombard, IL 60148-6175

450 W 22ND St
Suite 158
Lombard, IL 60148-4891
Phone (630) 474-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madrigal Consulting and Counseling LLP Clinical CurrentSince Jan 1, 2019 Accepting new patients
Madrigal Consulting and Counseling LLP Clinical Current Accepting new patients
Carie Johnstone PastSince Jul 24, 2022 Accepting new patients

Locations

450 E 22nd St
Ste 158
Lombard, IL 60148
Phone (630) 474-3900

Organizations & group practices 3

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578088951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486113",
            "telephone_number": "815-530-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486113",
            "telephone_number": "815-530-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "CARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.