Individual provider Active NPI

Erin Mitchell, LCSW

  • Clinical Social Worker
  • Sycamore, IL
National Provider Identifier
1629349063
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1958 Aberdeen CT Ste 11
Sycamore, IL 60178-3297
Phone
(815) 475-5435
Fax
(815) 205-4408
NPI assigned
Jan 17, 2012
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 IL Primary

Addresses

Primary practice location

1958 Aberdeen CT Ste 11
Sycamore, IL 60178-3297

Mailing address

1958 Aberdeen CT Ste 11
Sycamore, IL 60178-3297
Phone (815) 475-5435

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
I20190509002541 IL Practitioner - Clinical Social Worker 2163765389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1958 Aberdeen CT
Suite 11
Sycamore, IL 60178-3297
Phone (815) 475-5435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Dekalb County, Inc. CurrentSince Nov 19, 2023 Accepting new patients
Oakheart, Center for Counseling, Mediation, and Consultation, LLC CurrentSince Feb 9, 2020 Accepting new patients
Untangling Chaos Counseling, PLLC Clinical CurrentSince Apr 16, 2025 Accepting new patients

Locations

1325 Sycamore Rd
DeKalb, IL 60115
Phone (815) 758-8616

66 Miller Dr
Ste 105
North Aurora, IL 60542
Phone (630) 570-0050

1950 DeKalb Ave
Ste E
Sycamore, IL 60178
Phone (630) 570-0050

1958 Aberdeen Ct
Ste 11
Sycamore, IL 60178
Phone (815) 475-5435

240 Edward St
Sycamore, IL 60178
Phone (402) 750-0279

Organizations & group practices 3

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": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1629349063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 ABERDEEN CT STE 11",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783297",
            "telephone_number": "815-475-5435",
            "fax_number": "815-205-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 ABERDEEN CT STE 11",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783297",
            "telephone_number": "815-475-5435",
            "fax_number": "815-205-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.