Individual provider Active NPI

Candace Clark

  • Clinical Social Worker
  • Algonquin, IL
National Provider Identifier
1619534203
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
801 W Algonquin Rd Unit 7575
Algonquin, IL 60102-1026
Phone
(847) 458-4800
NPI assigned
May 20, 2019
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 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 Primary

Addresses

Primary practice location

801 W Algonquin Rd Unit 7575
Algonquin, IL 60102-1026

Mailing address

801 W Algonquin Rd Unit 7575
Algonquin, IL 60102-1026
Phone (847) 458-4800

Other practice location 1

1900 E Golf Rd Ste 950
Schaumburg, IL 60173-5034
Phone (847) 458-4800

Other identifiers 1

IdentifierTypeStateIssuer
362167940MedicaidIL

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
I20231024000517 IL Practitioner - Clinical Social Worker 9638525975 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicagoland Counseling PLLCGroup PAC ID 5193171346, 7 clinicians

Practice addresses (Care Compare)

1315 N Highland Ave
Suite 202
Aurora, IL 60506-1460
Phone (630) 394-1379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sookh PLLC CurrentSince Sep 5, 2025 Accepting new patients
Clarity Clinic PLLC Clinical CurrentSince Sep 11, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 19, 2024 Accepting new patients
Holistic Care for Women CurrentSince Jul 10, 2026 Accepting new patients

Locations

801 W Algonquin Rd
Unit 7575
Algonquin, IL 60102
Phone (847) 458-4800

1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1761 S Naperville Rd
Ste 103
Wheaton, IL 60189
Phone (630) 635-0577

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1619534203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ALGONQUIN RD UNIT 7575",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021026",
            "telephone_number": "847-458-4800",
            "fax_number": "630-332-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W ALGONQUIN RD UNIT 7575",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021026",
            "telephone_number": "847-458-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 E Golf Rd Ste 950",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601735034",
            "country_code": "US",
            "telephone_number": "847-458-4800",
            "fax_number": "630-332-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CANDACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362167940",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.