Individual provider Active NPI

Carmela Frankovich, LCSW

  • Clinical Social Worker
  • Lisle, IL
National Provider Identifier
1609315043
Registry record updated Sep 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018853 Issued in IL
Practice address
5700 Hillcrest LN
Apt 2a
Lisle, IL 60532-2575
Phone
(815) 603-2869
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.018853 IL Primary
Clinical Social Worker 1041C0700X 150014943 IL

Addresses

Primary practice location

5700 Hillcrest LN
Apt 2a
Lisle, IL 60532-2575

Mailing address

5700 Hillcrest LN Apt 2a
Lisle, IL 60532-2575
Phone (815) 603-2869

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
I20170517000191 IL Practitioner - Clinical Social Worker 1658648977 Practice locations: Bolingbrook, IL; Lisle, IL; Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

682 W Boughton Rd
Suite B
Bolingbrook, IL 60440-2199
Phone (815) 603-2869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.018853ILMDClinical Social Worker
150014943ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1609315043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 HILLCREST LN APT 2A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322575",
            "telephone_number": "815-603-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HILLCREST LN",
            "address_2": "APT 2A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322575",
            "telephone_number": "815-603-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKOVICH",
        "first_name": "CARMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018853",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150014943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.