Crystal Epps, LCSW
Individual provider Active NPI Clinical Social Worker · Summit, IL
NPI 1831568401 · NPPES record last updated Sep 24, 2015
Key facts
- NPI
- 1831568401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149016311 (IL)
- Practice address
- 74550 W 63Rd Street
Summit, IL 60501 - Phone
- (708) 458-0757
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121001275 | IL | Practitioner - Clinical Social Worker | 1153624325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016311 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current |
Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current |
Accepting new patients |
Locations
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
7450 W 63rd St
Summit Argo, IL 60501
Phone (708) 458-0757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149016311 | IL | Yes |
Addresses
Primary practice location
74550 W 63Rd Street
Summit, IL 60501
Mailing address
600 W Fulton St
Suite 200
Chicago, IL 60661-1259
Phone (312) 526-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149016311 | Other | IL | LCSW |
Other providers in Summit, IL
- Christopher J Demers
- Dental Town Summit
- Dilip M Shah MD SC
- Elise Christine Drejas
- Zane Elgogari
- Family Chiropractic Care,S.C.
- Edward Finn
- Jamelie Kathleen Ford III
- Fresenius Medical Care Summit, LLC
- Mark James Gagnon
All providers in Summit, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.