Individual provider Active NPI

Lisa M Salvadore, LCSW, CADC

  • Clinical Social Worker
  • Bloomingdale, IL
National Provider Identifier
1730305996
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-0101851 Issued in IL
Practice address
303 E Army Trail Rd
Suite 401
Bloomingdale, IL 60108-2169
Phone
(630) 924-1160
NPI assigned
Apr 17, 2007
Last updated
Aug 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17226 IL
Clinical Social Worker 1041C0700X 149-0101851 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd
Suite 401
Bloomingdale, IL 60108-2169

Mailing address

618 Lincolnwood Dr
Streamwood, IL 60107-1666
Phone (630) 715-6000

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
I20230829004094 IL Practitioner - Clinical Social Worker 0749643393 Practice locations: Schaumburg, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

450 W Schaumburg Rd
68864 68864
Schaumburg, IL 60194-9998

450 W Schaumburg Rd
Suite 68864
Schaumburg, IL 60194-3365
Phone (630) 715-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17226ILMDAddiction (Substance Use Disorder) Counselor
149-0101851ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Salvadore LCSW, Cadc LLC CurrentSince Sep 23, 2024 Accepting new patients
Advance Psychiatry & Counseling, SC. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1730305996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 LINCOLNWOOD DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071666",
            "telephone_number": "630-715-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 401",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-924-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADORE",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "17226",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-0101851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.