Elizabeth Illingworth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016346 Issued in IL

Practice address

650 N Dearborn St
Suite 400
Chicago, IL 60654-3873

Phone

(312) 967-9848

NPI assigned

Feb 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• On the Verge PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1366373557
  NPD Authorized official
• Midwest Counseling and Diagnostic Center

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1245621242
  NPD (past)
• Midwest Counseling and Diagnostic Center

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
  • NPI 1679914584
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425081600000",
    "number": "1669864187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N DEARBORN ST",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543873",
            "telephone_number": "312-967-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N DEARBORN ST",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543873",
            "telephone_number": "312-967-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLINGWORTH",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elif Nisan Ilkmen, AMFT
• Illiana Home Medical Equipment and Supplies LLC
• Illiana Physicians Group
• Leslie Joel Illidge
• Peter Illing, LCSW
• Illinois ABA Therapy LLC
• Illinois Allergy Asthma & Sinus Center Inc
• Illinois Anesthesia Specialists LLC
• Illinois Applied Behavior Analysis LLC
• Illinois Autism Center LLC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.