Individual provider Active NPI

Lynn Vaughn

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1780421776
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006549 Issued in IL
Practice address
14722 S Naperville Rd Ste 100
Plainfield, IL 60544-3308
Phone
(815) 683-8700
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 149006549 IL Primary

Addresses

Primary practice location

14722 S Naperville Rd Ste 100
Plainfield, IL 60544-3308

Mailing address

2685 Jodee Dr
Joliet, IL 60436-1058
Phone (815) 258-5107

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
I20241010002469 IL Practitioner - Clinical Social Worker 0244762607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
A New Day Counseling and Family Wellness Inc NFPGroup PAC ID 2062897507, 7 clinicians

Practice addresses (Care Compare)

14722 S Naperville Rd
Suite 116
Plainfield, IL 60544-3310
Phone (815) 683-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006549ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New Day Counseling & Family Wellness, Inc. NFP Clinical CurrentSince Aug 5, 2024 Accepting new patients

Locations

14722 S Naperville Rd
Ste 116
Plainfield, IL 60544
Phone (815) 683-8700

23908 W Main St
Plainfield, IL 60544
Phone (815) 683-8700

14722 S Naperville Rd
Ste 100
Plainfield, IL 60544
Phone (815) 254-9141

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1780421776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 JODEE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361058",
            "telephone_number": "815-258-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14722 S NAPERVILLE RD STE 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443308",
            "telephone_number": "815-683-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.