Active NPI
Haley Elizabeth Swanson, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015570
- Practice address
- 710 S Paulina St Ste 438
Chicago, IL 60612-3808 - Phone
- (847) 308-8485
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 149015570 | IL | Primary |
Addresses
Primary practice location
710 S Paulina St Ste 438
Chicago, IL 60612-3808
Mailing address
743 N East Ave
Oak Park, IL 60302-1540
Phone (847) 308-8485
Other practice location 1
5425 W Lake St
Chicago, IL 60644-2342
Phone (773) 378-3047
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
710 S Paulina St
Chicago, IL 60612-3808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015570 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Moon Senior Counseling of Illinois LLC | Clinical | Current | Accepting new patients |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
5425 W Lake St
Chicago, IL 60644
Phone (773) 378-3347
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
710 S Paulina St
Ste 438
Chicago, IL 60612
Phone (312) 563-2702
1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134
14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113
10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Clinical Social Worker
- Plainfield, IL
- NPI 1841562931
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
-
- Clinic/Center
- Chicago, IL
- NPI 1356891618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1740418474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 N EAST AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021540",
"telephone_number": "847-308-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S PAULINA ST STE 438",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123808",
"telephone_number": "847-308-8485"
}
],
"practiceLocations": [
{
"address_1": "5425 W Lake St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606442342",
"country_code": "US",
"telephone_number": "773-378-3047",
"fax_number": "773-378-4028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "HALEY",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.