Melody Marcotte, MA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018782 Issued in IL

Practice address

8695 Archer Ave Ste 21
Willow Springs, IL 60480-1283

Phone

(708) 480-2853

NPI assigned

May 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1821525353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 ARCHER AVE STE 21",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801283",
            "telephone_number": "708-480-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 ARCHER AVE STE 21",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801283",
            "telephone_number": "708-480-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9760 S Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Palos Hills",
            "state": "IL",
            "postal_code": "604651686",
            "country_code": "US",
            "telephone_number": "708-480-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "MELODY",
        "name_prefix": "Mrs.",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.