Active NPI
Magdalena McElroy, LCSW
- Clinical Social Worker
- Round Lake Park, IL
National Provider Identifier
1780715631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-005624
- Practice address
- 423 E Washington St.
Round Lake Park, IL 60073 - Phone
- (847) 377-8855
- Fax
- (847) 546-0083
- NPI assigned
- Mar 9, 2007
- Last updated
- Sep 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-005624 | IL | Primary |
Addresses
Primary practice location
423 E Washington St.
Round Lake Park, IL 60073
Mailing address
423 E. Washington St
Round Lake Park, IL 60073
Phone (847) 377-8855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149-005624 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-005624 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1780715631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 E. WASHINGTON ST",
"city": "ROUND LAKE PARK",
"state": "IL",
"postal_code": "60073",
"telephone_number": "847-377-8855",
"fax_number": "847-546-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 E WASHINGTON ST.",
"city": "ROUND LAKE PARK",
"state": "IL",
"postal_code": "60073",
"telephone_number": "847-377-8855",
"fax_number": "847-546-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "MAGDALENA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-005624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "149-005624",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Round Lake Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.