Individual provider Active NPI

Aimee Maas, LCSW

  • Clinical Social Worker
  • Carol Stream, IL
National Provider Identifier
1760997993
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019936 Issued in IL
Practice address
336 Gundersen Dr Ste B
Carol Stream, IL 60188-2403
Phone
(630) 871-2100
Fax
(630) 588-0824
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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 149019936 IL Primary

Addresses

Primary practice location

336 Gundersen Dr Ste B
Carol Stream, IL 60188-2403

Mailing address

1237 Reading CT
Wheaton, IL 60189-7710
Phone (513) 646-4785

Other identifiers 1

IdentifierTypeStateIssuer
1255443669OtherILGROUP NPI

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
I20180525001554 IL Practitioner - Clinical Social Worker 4981969755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outreach Community Ministries IncGroup PAC ID 6103188016, 4 clinicians

Practice addresses (Care Compare)

336 Gundersen Dr
Suite B
Carol Stream, IL 60188-2403
Phone 6308712100209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Community Ministries Inc Clinical CurrentSince Mar 7, 2018 Accepting new patients
Outreach York Past Accepting new patients
Outreach Carol Stream Clinical Past Accepting new patients
Outreach Wheaton Clinical Past Accepting new patients

Locations

336 Gundersen Dr
Ste B
Carol Stream, IL 60188
Phone (630) 871-2100

373 S Schmale Rd
Ste 102
Carol Stream, IL 60188

122 W Liberty Dr
Wheaton, IL 60187
Phone (630) 682-1910

Organizations & group practices 4

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1760997993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 READING CT",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897710",
            "telephone_number": "513-646-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GUNDERSEN DR STE B",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882403",
            "telephone_number": "630-871-2100",
            "fax_number": "630-588-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "AIMEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1255443669",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.