Individual provider Active NPI

Melanie Klebanov, MSW

  • Social Worker
  • Downers Grove, IL
National Provider Identifier
1841185212
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
PENDING Issued in IL
Practice address
5010 Fairview Ave Ste 5
Downers Grove, IL 60515-5201
Phone
(630) 528-8855
Fax
(630) 541-6557
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PENDING IL Primary

Addresses

Primary practice location

5010 Fairview Ave Ste 5
Downers Grove, IL 60515-5201

Mailing address

900 Ogden Ave # 112
Downers Grove, IL 60515-2829
Phone (630) 528-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGILMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1841185212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OGDEN AVE # 112",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152829",
            "telephone_number": "630-528-8855",
            "fax_number": "630-541-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 FAIRVIEW AVE STE 5",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155201",
            "telephone_number": "630-528-8855",
            "fax_number": "630-541-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBANOV",
        "first_name": "MELANIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.