Aileen McKenna-Burke, LCSW
Individual provider Active NPI Clinical Social Worker · Minooka, IL
NPI 1750130860 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1750130860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 4745 E Sherrill Rd
Minooka, IL 60447-9921 - Phone
- (815) 573-4551
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9007 Safe Haven PL
Spring Hill, TN 37174-6420
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805001914 | IL | Practitioner - Clinical Social Worker | 5294272597 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
4745 E Sherrill Rd
Minooka, IL 60447-9921
Mailing address
9007 Safe Haven PL
Spring Hill, TN 37174-6420
Phone (815) 573-4551
Other providers in Minooka, IL
- Joann Lynn Maruszak
- Audrey L Mascitti
- Carrie E McCarthy
- Amanda McCleary
- James Dale McGehee
- Erin Meyerhoff
- Minooka Comm Cons SCH Dist 201
- Minooka Comm HS Dist 111
- Minooka Family Chiropractic, PC
- Minooka Fire Protection District
All providers in Minooka, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.