Cynthia Jean Waderlow, MSE,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

011168 Issued in IL

Practice address

1755 E 55TH St
#604
Chicago, IL 60615-5992

Phone

(773) 546-8704

NPI assigned

Oct 26, 2010

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

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Charities of the Archdiocese of ChicagoGroup PAC ID 3678668795, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Catholic Charities of the Archdiocese of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1669583001
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1831499797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 E 55TH ST",
            "address_2": "#604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155992",
            "telephone_number": "773-546-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 E 55TH ST",
            "address_2": "#604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155992",
            "telephone_number": "773-546-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADERLOW",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSE,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "011168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wade, L.AC.
• Marilyn Wright Wade, CADC, MISA I
• Natalie Wade
• Tremell Wade
• Vanessa Wade, DPT
• Anupama Natraj Wadhwa, MD
• Marissa Lauren Wadhwa, DMD
• Meenakshi Wadhwa, MS, RD, LDN
• Niki Ashwani Wadhwa, MD
• Geeta Wadhwani, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Oct 26, 2010; 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.

Verify at the official NPI Registry.