Individual provider Active NPI

Sylwia Drag, LSW

  • Clinical Social Worker
  • Bloomingdale, IL
National Provider Identifier
1821737669
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026914 Issued in IL
Practice address
109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500
Phone
(630) 237-4446
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 150.105469 IL
Clinical Social Worker 1041C0700X 149.026914 IL Primary

Addresses

Primary practice location

109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500

Mailing address

100 George St Apt 517
Bensenville, IL 60106-3170
Phone (773) 230-5697

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
I20240502001796 IL Practitioner - Clinical Social Worker 7315387727 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.105469ILMDMental Health Counselor
149.026914ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Jun 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 30, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

Organizations & group practices 3

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1821737669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GEORGE ST APT 517",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063170",
            "telephone_number": "773-230-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FAIRFIELD WAY STE 205",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081500",
            "telephone_number": "630-237-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAG",
        "first_name": "SYLWIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.105469",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.