Maeghan Louise Anderson, LCSW
Individual provider Active NPI Social Worker · Chicago, IL
NPI 1679973663 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1679973663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150014885 (IL)
- Practice address
- 2858 W Diversey Ave
Chicago, IL 60647-1871 - Phone
- (773) 217-8605
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Our House Therapy Collective a Healing Community
Practice addresses (Care Compare)
2858 W Diversey Ave
Chicago, IL 60647-1871
Phone (708) 941-1761
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170410002132 | IL | Practitioner - Clinical Social Worker | 9638455439 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150014885 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our House Therapy Collective a Healing Community | Current | Accepting new patients | |
| Our House Therapy Collective a Healing Community | Current |
Accepting new patients | |
| Jewish Child and Family Services | Past |
Accepting new patients |
Locations
2858 W Diversey Ave
Chicago, IL 60647
Phone (312) 374-6621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150014885 | IL | Yes |
Addresses
Primary practice location
2858 W Diversey Ave
Chicago, IL 60647-1871
Mailing address
2858 W Diversey Ave
Chicago, IL 60647-1871
Phone (773) 217-8605
NPI Registry JSON
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1679973663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2858 W DIVERSEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606471871",
"telephone_number": "773-217-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2858 W DIVERSEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606471871",
"telephone_number": "773-217-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MAEGHAN",
"middle_name": "LOUISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150014885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.