Individual provider Active NPI

Megan Quarles Baker Soen, MSW, LCSW

  • Clinical Social Worker
  • Dekalb, IL
National Provider Identifier
1689022816
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019974 Issued in IL
Practice address
14 Health Services Dr
Dekalb, IL 60115-9637
Phone
(815) 758-8616
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.101423 IL
Clinical Social Worker 1041C0700X 149019974 IL Primary

Addresses

Primary practice location

14 Health Services Dr
Dekalb, IL 60115-9637

Mailing address

308 Stratford PL Apt 32
Bloomingdale, IL 60108-2381
Phone (630) 450-4385

Other practice location 1

201 Cedar Ave
St Charles, IL 60174-2025
Phone (630) 296-6785

Other names 1

  • Megan Quarles Baker Former name

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
I20190613002682 IL Practitioner - Clinical Social Worker 2567795164 Practice locations: St Charles, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1434 E Main St
Suite B
St Charles, IL 60174-2374
Phone (630) 296-6785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.101423ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Levinsky Psy.D. P.C. Past Accepting new patients

Organizations & group practices 1

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1689022816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 STRATFORD PL APT 32",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082381",
            "telephone_number": "630-450-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159637",
            "telephone_number": "815-758-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601742025",
            "country_code": "US",
            "telephone_number": "630-296-6785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOEN",
        "first_name": "MEGAN",
        "middle_name": "QUARLES BAKER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.101423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BAKER",
            "middle_name": "QUARLES",
            "credential": "MSW,LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.