Individual provider Active NPI

Michael V. Hugo, A.C.S.W.

  • Clinical Social Worker
  • Mundelein, IL
National Provider Identifier
1821357047
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003414 Issued in IL
Practice address
505 E Hawley St
Suite 140
Mundelein, IL 60060-2494
Phone
(847) 347-7367
Fax
(224) 513-4700
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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 149003414 IL Primary

Addresses

Primary practice location

505 E Hawley St
Suite 140
Mundelein, IL 60060-2494

Mailing address

333 S Prairie Ave
Mundelein, IL 60060-2613
Phone (847) 322-7585

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
I20150528002015 IL Practitioner - Clinical Social Worker 1759601958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barrington Behavioral Health and Wellness PCGroup PAC ID 6608099163, 11 clinicians

Practice addresses (Care Compare)

1242 W Northwest Hwy
Suite 6
Palatine, IL 60067-1897
Phone (888) 261-2178

795 Ela Rd
Suite 216
Lake Zurich, IL 60047-6307
Phone (888) 261-2178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149003414ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Behavioral Health & Wellness PC CurrentSince May 1, 2015 Accepting new patients
Lighthouse Counseling of Lake County Inc. Past Accepting new patients

Locations

290 N Rand Rd
Ste D
Lake Zurich, IL 60047
Phone (888) 261-2178

Organizations & group practices 2

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1821357047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S PRAIRIE AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602613",
            "telephone_number": "847-322-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E HAWLEY ST",
            "address_2": "SUITE 140",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602494",
            "telephone_number": "847-347-7367",
            "fax_number": "224-513-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGO",
        "first_name": "MICHAEL",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "credential": "A.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

Verify at the official NPI Registry.