Active NPI
Carly Wicks, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1831052489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149030736
- Practice address
- 2701 W 68TH St FL 3
Chicago, IL 60629-1813 - Phone
- (773) 565-2550
- NPI assigned
- Dec 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 149030736 | IL | Primary |
Addresses
Primary practice location
2701 W 68TH St FL 3
Chicago, IL 60629-1813
Mailing address
3325 W Carroll Ave Apt 2
Chicago, IL 60624-2035
Phone (773) 542-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Univ of Illinois at Chicago College of Dentistry, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1501 S California
Suite 140
Chicago, IL 60608-1732
1501 S California Ave
7 140
Chicago, IL 60608-1732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149030736 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients |
Locations
2701 W 68th St
Fl 3
Chicago, IL 60629
Phone (773) 565-2550
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
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.
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1578972188
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1831052489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 W CARROLL AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606242035",
"telephone_number": "773-542-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W 68TH ST FL 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606291813",
"telephone_number": "773-565-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKS",
"first_name": "CARLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149030736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Catherine Ann Wicklund, MS, CGC
- Sarah Elizabeth Wicklund, CCC-SLP
- Ian Edward Wickramasekera II, PSY.D.
- Manthushi Eshanya Wickramasinghe
- Mohanlal Wickramasinghe, MD
- Jennifer Susan Wicks, M.D.
- Nicole Wicks, MA, LPC
- Sheila Michelle Wicks, BSC MS MB,MBA,LAC
- Jancey Lee Wickstrom, MA, LCSW
- Elizabeth Kilner Wickware, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.