Michael Carbone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014190 Issued in IL

Practice address

2604 Dempster St Ste 307
Park Ridge, IL 60068-8427

Phone

(847) 544-5102

Fax

(847) 544-5103

NPI assigned

Nov 2, 2010

Sex

Male

Sole proprietor

No

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carbone CBT & Wellness LLC

  • Clinical Social Worker
  • Lindenhurst, IL
  • NPI 1396672069

  Clinical, IL

  Medicare reassignment NPD Authorized official
• Pro Psych Associates SC

  • Psychiatry Physician
  • Park Ridge, IL
  • NPI 1033267661

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1598065898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 NATURES WAY",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600461706",
            "telephone_number": "708-945-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688427",
            "telephone_number": "847-544-5102",
            "fax_number": "847-544-5103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Natures Way",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "IL",
            "postal_code": "600461706",
            "country_code": "US",
            "telephone_number": "708-945-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Cannon
• Bridget Faith Cantrell, APN, ACNP
• Joseph P Capezio, M.D.
• Michael Thomas Cappello, D.O.
• Costantina Marie Capriati, PHARMD
• Cardiology, Electrophysiology and Pacemaker Specialists LTD
• Ralph A Cardone, PHARM. D
• Marian Cardwell, MD
• David Carey
• Amy Carlson, FNP-C

• All providers in Park Ridge, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.