Individual provider Active NPI

Crystal Campos, LCSW

  • Social Worker
  • Lake Forest, IL
National Provider Identifier
1609642685
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149029439 Issued in IL
Practice address
900 N Westmoreland Rd Ste 220
Lake Forest, IL 60045-1681
Phone
(847) 535-8060
Fax
(847) 535-8070
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149029439 IL Primary

Addresses

Primary practice location

900 N Westmoreland Rd Ste 220
Lake Forest, IL 60045-1681

Mailing address

900 N Westmoreland Rd Ste 220
Lake Forest, IL 60045-1681
Phone (847) 535-8060

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
I20260320000183 IL Practitioner - Clinical Social Worker 6709360480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5777 Dept
Carol Stream, IL 60122-0021

900 N Westmoreland Rd
Suite 220
Lake Forest, IL 60045-1681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149029439ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
In Motion Counseling CurrentSince Dec 3, 2023 Accepting new patients

Locations

6843 Stanley Ave
Berwyn, IL 60402
Phone (708) 613-7912

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1609642685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD STE 220",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451681",
            "telephone_number": "847-535-8060",
            "fax_number": "847-535-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD STE 220",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451681",
            "telephone_number": "847-535-8060",
            "fax_number": "847-535-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "CRYSTAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149029439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.