Active NPI
Nichol Speciale, LCSW
- Clinical Social Worker
- Springfield, IL
National Provider Identifier
1710596572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149019522
- Practice address
- 3700 Kerry Blvd
Springfield, IL 62712-5858 - Phone
- (847) 650-3978
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW09929855 | CO | |
| Clinical Social Worker | 1041C0700X | 149019522 | IL | Primary |
Addresses
Primary practice location
3700 Kerry Blvd
Springfield, IL 62712-5858
Mailing address
3700 Kerry Blvd
Springfield, IL 62712-5858
Phone (847) 650-3978
Other practice location 1
73 W Monroe St Ste 422
Chicago, IL 60603-4955
Phone (888) 500-2067
Other practice location 2
1630 Welton St # 721
Denver, CO 80202-4257
Phone (888) 500-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW09929855 | CO | MD | Clinical Social Worker |
| 149019522 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Clinical | 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.
-
- Child & Adolescent Psychiatry Physician
- Cambridge, MA
- NPI 1912633975
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1710596572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 KERRY BLVD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627125858",
"telephone_number": "847-650-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 KERRY BLVD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627125858",
"telephone_number": "847-650-3978"
}
],
"practiceLocations": [
{
"address_1": "73 W Monroe St Ste 422",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606034955",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 Welton St # 721",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802024257",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPECIALE",
"first_name": "NICHOL",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW09929855",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149019522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.