Individual provider Active NPI

Lauren Campbell, LCSW

  • Clinical Social Worker
  • Woodridge, IL
National Provider Identifier
1790216331
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015916 Issued in IL
Practice address
3329 75TH St Ste 200
Woodridge, IL 60517-2700
Phone
(630) 964-9400
NPI assigned
Mar 24, 2017
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 149015916 IL Primary

Addresses

Primary practice location

3329 75TH St Ste 200
Woodridge, IL 60517-2700

Mailing address

3329 75TH St Ste 200
Woodridge, IL 60517-2700

Other practice location 1

4923 Main St
Downers Grove, IL 60515-3654
Phone (630) 206-0272 ext. 18

Other names 1

  • Lauren Wilder Former name

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
I20181008000804 IL Practitioner - Clinical Social Worker 7810249588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Mar 30, 2024 Accepting new patients
Edward Health Ventures CurrentSince May 21, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince May 7, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1335 N Mill St
Ste 100
Naperville, IL 60563
Phone (630) 305-5118

3329 75th St
Woodridge, IL 60517
Phone (630) 646-6750

3329 75th St
Ste 200
Woodridge, IL 60517
Phone (630) 694-9400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1790216331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 75TH ST STE 200",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 75TH ST STE 200",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172700",
            "telephone_number": "630-964-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4923 Main St",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605153654",
            "country_code": "US",
            "telephone_number": "630-206-0272 x18",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WILDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.