Individual provider Active NPI

Matthew Adam Silver, LCSW

  • Clinical Social Worker
  • Winnetka, IL
National Provider Identifier
1780042788
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018234 Issued in IL
Practice address
992 1/2 Green Bay Rd
Winnetka, IL 60093-1722
Phone
(847) 446-8060
Fax
(847) 446-9768
NPI assigned
Feb 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25641 IL
Clinical Social Worker 1041C0700X 149.018234 IL Primary

Addresses

Primary practice location

992 1/2 Green Bay Rd
Winnetka, IL 60093-1722

Mailing address

1958 W Winona St
Chicago, IL 60640-2661
Phone (773) 350-2462

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
I20180208002661 IL Practitioner - Clinical Social Worker 5991065021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Counseling Center of the North Shore IncGroup PAC ID 5597762310, 5 clinicians

Practice addresses (Care Compare)

992 /2 Green Bay Rd
Winnetka, IL 60093-1722
Phone (847) 446-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25641ILMDAddiction (Substance Use Disorder) Counselor
149.018234ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of the North Shore, Inc. Clinical CurrentSince Nov 19, 2017 Accepting new patients

Locations

992 Green Bay Rd
Winnetka, IL 60093
Phone (847) 446-8060

Organizations & group practices 1

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1780042788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 W WINONA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402661",
            "telephone_number": "773-350-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 1/2 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931722",
            "telephone_number": "847-446-8060",
            "fax_number": "847-446-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "MATTHEW",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "25641",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

Verify at the official NPI Registry.