Individual provider Active NPI

Margaret Mebaghane Wilson, LCSW

  • Clinical Social Worker
  • Flossmoor, IL
National Provider Identifier
1760831812
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016109 Issued in IL
Practice address
3702 Culloden St
Flossmoor, IL 60422-4343
Phone
(312) 388-7740
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 149.016109 IL Primary

Addresses

Primary practice location

3702 Culloden St
Flossmoor, IL 60422-4343

Mailing address

3702 Culloden St
Flossmoor, IL 60422-4343
Phone (312) 388-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, DC2 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
I20210524000881 IL Practitioner - Clinical Social Worker 5890194948 Reassigns benefits to 2 organizations
I20251206000021 DC Practitioner - Clinical Social Worker 5890194948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016109ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Feb 16, 2021 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 16, 2023 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Feb 16, 2021 Accepting new patients
Catholic Charities of the Archdiocese of Chicago Past Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

7702 Solution Ctr
Chicago, IL 60677

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1760831812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 CULLODEN ST",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224343",
            "telephone_number": "312-388-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 CULLODEN ST",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224343",
            "telephone_number": "312-388-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARGARET",
        "middle_name": "MEBAGHANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.