Individual provider Active NPI

Megan Ann Calabrese, LSW

  • Social Worker
  • Elgin, IL
National Provider Identifier
1700523511
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150107862 Issued in IL
Practice address
165 Mallery Ave
Elgin, IL 60123-6150
Phone
(630) 797-1210
NPI assigned
May 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150107862 IL Primary

Addresses

Primary practice location

165 Mallery Ave
Elgin, IL 60123-6150

Mailing address

165 Mallery Ave
Elgin, IL 60123-6150
Phone (630) 797-1210

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
I20240201002431 IL Practitioner - Clinical Social Worker 1658724034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Affective Counseling IncGroup PAC ID 5991158347, 7 clinicians

Practice addresses (Care Compare)

111 Lions Dr
Suite 201
Barrington, IL 60010-3175
Phone (224) 655-2655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150107862ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affective Counseling Inc CurrentSince Nov 13, 2023 Accepting new patients

Locations

111 Lions Dr
Ste 201
Barrington, IL 60010
Phone (224) 655-2655

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": "1652486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1700523511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MALLERY AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236150",
            "telephone_number": "630-797-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MALLERY AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236150",
            "telephone_number": "630-797-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRESE",
        "first_name": "MEGAN",
        "middle_name": "ANN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150107862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.