Mari Mortensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

9265 Waterfall Glen Blvd
Darien, IL 60561-5282

Phone

(708) 650-4356

NPI assigned

Jan 3, 2023

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mari Mortensen LCSW PLLC

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1780412403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1578276770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 WATERFALL GLEN BLVD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615282",
            "telephone_number": "708-650-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 WATERFALL GLEN BLVD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615282",
            "telephone_number": "708-650-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "MARI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Monaco, D.C.
• Mouad Morabit
• Jorge Luis Morales Cardona, ND
• Ariel Martina Moreno
• Taharia C Morgan
• Peter F Mueller, O.D.
• Aldina Muhic, RBT
• Emina Muhic
• Carissa Murawski
• Theresa Murphy, SPEECH-LANGUAGE PATH

• Clinical Social Worker in Darien, IL
• Providers in Darien, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.