Individual provider Active NPI

Marie Angelico, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1578414652
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000058 Issued in IL
Practice address
609 N Wells St
Chicago, IL 60654-3714
Phone
(312) 266-0404
Fax
(312) 266-8169
NPI assigned
Feb 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 149000058 IL Primary

Addresses

Primary practice location

609 N Wells St
Chicago, IL 60654-3714

Mailing address

609 N Wells St
Chicago, IL 60654-3714
Phone (312) 266-0404

Other practice location 1

4954 Main St
Downers Grove, IL 60515-3611
Phone (630) 810-0186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149000058ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cap of Downers Grove, Inc Past Accepting new patients
Center for Addictive Problems, Inc PastSince Dec 29, 2019 Accepting new patients

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": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1578414652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543714",
            "telephone_number": "312-266-0404",
            "fax_number": "312-266-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543714",
            "telephone_number": "312-266-0404",
            "fax_number": "312-266-8169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4954 Main St",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605153611",
            "country_code": "US",
            "telephone_number": "630-810-0186",
            "fax_number": "630-810-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELICO",
        "first_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.