Individual provider Active NPI

Olena Hartline, LCSW

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1598955809
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149013479 Issued in IL
Practice address
24047 W Lockport St Ste 201B
Plainfield, IL 60544-1680
Phone
(630) 674-3477
Fax
(630) 360-8424
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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 149013479 IL Primary

Addresses

Primary practice location

24047 W Lockport St Ste 201B
Plainfield, IL 60544-1680

Mailing address

24047 W Lockport St Ste 201B
Plainfield, IL 60544-1680
Phone (630) 674-3477

Other practice location 1

24014 W Renwick Rd
Suite 100
Plainfield, IL 60544-8708
Phone (630) 674-3477

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
I20160602002661 IL Practitioner - Clinical Social Worker 9931499910 Reassigns benefits to 1 organization
Practice locations: Plainfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
KCS Counseling, LTDGroup PAC ID 1254787161, 2 clinicians

Practice addresses (Care Compare)

13550 S Route 30
Suite 204B
Plainfield, IL 60544-5688
Phone (630) 674-3477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149013479ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KCS Counseling, LTD. Clinical CurrentSince Aug 4, 2023 Accepting new patients

Locations

123 W Washington St
Ste 216
Oswego, IL 60543
Phone (630) 465-0671

13550 S Route 30
Ste 204B
Plainfield, IL 60544
Phone (331) 264-6002

Organizations & group practices 1

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1598955809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24047 W LOCKPORT ST STE 201B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441680",
            "telephone_number": "630-674-3477",
            "fax_number": "630-360-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24047 W LOCKPORT ST STE 201B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441680",
            "telephone_number": "630-674-3477",
            "fax_number": "630-360-8424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24014 W Renwick Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605448708",
            "country_code": "US",
            "telephone_number": "630-674-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "OLENA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.