Individual provider Active NPI

Lynsey M Sloan, LCSW

  • Clinical Social Worker
  • Saint Charles, IL
National Provider Identifier
1699315010
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014621 Issued in IL
Practice address
2075 Foxfield Rd Ste 202
Saint Charles, IL 60174-1402
Phone
(630) 377-3535
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 149.014621 IL Primary

Addresses

Primary practice location

2075 Foxfield Rd Ste 202
Saint Charles, IL 60174-1402

Mailing address

4513 Arthur Ave
Brookfield, IL 60513-2321
Phone (312) 248-3482

Other practice location 1

4513 Arthur Ave
Brookfield, IL 60513-2321
Phone (312) 248-3482

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
I20250710003452 IL Practitioner - Clinical Social Worker 4082128954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014621ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David Goodman, PH.D. Psychologist LTD. CurrentSince May 3, 2025 Accepting new patients
Kids Above All Illinois PastSince Jan 1, 2020 Accepting new patients
Kids Above All Illinois PastSince Jan 1, 2020 Accepting new patients

Locations

1200 Harger Rd
Ste 2C
Oak Brook, IL 60523
Phone (630) 377-3535

1200 Harger Rd
Ste 310
Oak Brook, IL 60523

2075 Foxfield Rd
Ste 202
St Charles, IL 60174
Phone (630) 377-3535

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1699315010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 ARTHUR AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132321",
            "telephone_number": "312-248-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FOXFIELD RD STE 202",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741402",
            "telephone_number": "630-377-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4513 Arthur Ave",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "IL",
            "postal_code": "605132321",
            "country_code": "US",
            "telephone_number": "312-248-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "LYNSEY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, IL

Sources for this page

Verify at the official NPI Registry.