Individual provider Active NPI

Angela Deanine Lee, MSW

  • Social Worker
  • Homewood, IL
National Provider Identifier
1740910025
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
905 175TH St Ste 300
Homewood, IL 60430-2057
Phone
(773) 998-9948
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 Primary

Addresses

Primary practice location

905 175TH St Ste 300
Homewood, IL 60430-2057

Mailing address

905 175TH St Ste 300
Homewood, IL 60430-2057
Phone (773) 998-9948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241008001356 IL Practitioner - Mental Health Counselor 2860923398
I20260507002194 IL Practitioner - Clinical Social Worker 2860923398 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

356 E 46TH St
Apt B1 2
Chicago, IL 60653-4050
Phone (708) 872-7077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Lodestone Center for Behavioral Health, PC CurrentSince Aug 1, 2024 Accepting new patients
TMS Psychological Services PC PastSince Sep 1, 2017 Accepting new patients

Locations

15 Spinning Wheel Rd
Ste 426
Hinsdale, IL 60521
Phone (630) 323-3050

1011 Lake St
Ste 421
Oak Park, IL 60301
Phone (708) 303-8083

111 Dean St
Woodstock, IL 60098
Phone (815) 344-5061

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1740910025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 175TH ST STE 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302057",
            "telephone_number": "773-998-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 175TH ST STE 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302057",
            "telephone_number": "773-998-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGELA",
        "middle_name": "DEANINE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.