Individual provider Active NPI

Marcia M Ward, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1659444354
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003654 Issued in IL
Practice address
1525 E 53Rd St
Suite 516 Office 7
Chicago, IL 60615-4557
Phone
(847) 577-1501
Fax
(847) 577-3858
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 149003654 IL Primary

Addresses

Primary practice location

1525 E 53Rd St
Suite 516 Office 7
Chicago, IL 60615-4557

Mailing address

3285 N Arlington Heights Rd
Suite 201
Arlington Heights, IL 60004-1564
Phone (847) 577-1501

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
I20060201000022 IL Practitioner - Clinical Social Worker 3577577360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149003654ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Nov 1, 2020 Accepting new patients
Lake-Cook Psychologists and Counseling Associates CurrentSince Jan 1, 2005 Accepting new patients
Rush University Medical Center CurrentSince Nov 1, 2020 Accepting new patients

Locations

3285 N Arlington Heights Rd
Ste 201
Arlington Heights, IL 60004
Phone (847) 398-0499

3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2150 W Harrison St
Chicago, IL 60612
Phone (312) 563-1212

1525 E 53rd St
Ste 424
Chicago, IL 60615
Phone (773) 556-3509

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1659444354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041564",
            "telephone_number": "847-577-1501",
            "fax_number": "847-577-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST",
            "address_2": "SUITE 516 OFFICE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154557",
            "telephone_number": "847-577-1501",
            "fax_number": "847-577-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARCIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.