Individual provider Active NPI

Deborah Levine

  • Clinical Social Worker
  • Vernon Hills, IL
National Provider Identifier
1669043592
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027723 Issued in IL
Practice address
544 Lakeview Pkwy # 100
Vernon Hills, IL 60061-1826
Phone
(847) 736-0800
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 149.027723 IL Primary
Social Worker 104100000X

Addresses

Primary practice location

544 Lakeview Pkwy # 100
Vernon Hills, IL 60061-1826

Mailing address

1060 Haywood Dr
Round Lake, IL 60073-3751
Phone (847) 736-0800

Other practice location 1

1060 Haywood Dr
Round Lake, IL 60073-3751
Phone (847) 736-0800

Other practice location 2

977 Lakeview Pkwy Ste 150
Vernon Hills, IL 60061-1476
Phone (847) 438-4222 ext. 55

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
I20241113004399 IL Practitioner - Clinical Social Worker 0345774352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

416 Main St
Suite 601
Peoria, IL 61602-3126
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.027723ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Jul 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 22, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1669043592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HAYWOOD DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733751",
            "telephone_number": "847-736-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 LAKEVIEW PKWY # 100",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611826",
            "telephone_number": "847-736-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Haywood Dr",
            "address_purpose": "LOCATION",
            "city": "Round Lake",
            "state": "IL",
            "postal_code": "600733751",
            "country_code": "US",
            "telephone_number": "847-736-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "977 Lakeview Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611476",
            "country_code": "US",
            "telephone_number": "847-438-4222 x55",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027723",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.