Individual provider Active NPI

Linda Hadlock, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1740042357
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025769 Issued in IL
Practice address
500 Coventry LN Ste 130
Crystal Lake, IL 60014-7578
Phone
(815) 998-8674
Fax
(815) 205-4083
NPI assigned
Jan 29, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 149.025769 IL Primary

Addresses

Primary practice location

500 Coventry LN Ste 130
Crystal Lake, IL 60014-7578

Mailing address

1309 Mulberry LN
Cary, IL 60013-1854
Phone (815) 355-6981

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
I20240425002568 IL Practitioner - Clinical Social Worker 7416397336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geek Therapy Guild PLLCGroup PAC ID 6608216528, 3 clinicians

Practice addresses (Care Compare)

500 Coventry LN
Suite 130
Crystal Lake, IL 60014-7578
Phone (815) 889-0582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025769ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geek Therapy Guild PLLC Clinical CurrentSince Jan 30, 2024 Accepting new patients

Locations

500 Coventry Ln
Ste 130
Crystal Lake, IL 60014
Phone (630) 418-4440

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, 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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1740042357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 MULBERRY LN",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131854",
            "telephone_number": "815-355-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN STE 130",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147578",
            "telephone_number": "815-998-8674",
            "fax_number": "815-205-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLOCK",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.