Individual provider Active NPI

Michelle Nguyen, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1841999679
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11979-C Issued in AR
Practice address
1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187
Phone
(312) 535-9818
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 11979-C AR Primary
Social Worker 104100000X 11979-M AR

Addresses

Primary practice location

1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187

Mailing address

1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187
Phone (312) 535-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250224002037 AR Practitioner - Clinical Social Worker 8820518608 Reassigns benefits to 1 organization
I20251014004102 IL Practitioner - Clinical Social Worker 8820518608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. David Rakofsky PCGroup PAC ID 6103001797, 10 clinicians

Practice addresses (Care Compare)

747 N la Salle Dr
Suite 700
Chicago, IL 60654-5089
Phone (312) 384-1940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11979-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Feb 10, 2025 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Feb 10, 2025 Accepting new patients
Dr. David Rakofsky PC CurrentSince Sep 15, 2025 Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

3901 McCain Park Dr
Ste 102
North Little Rock, AR 72116
Phone (501) 771-8261

4701 Fairway Ave
Ste B
North Little Rock, AR 72116
Phone (501) 771-8261

747 N La Salle Dr
Ste 700
Chicago, IL 60654

1011 W Wellington Ave
Ste 210
Chicago, IL 60657
Phone (312) 682-0958

1950 N Stemmons Fwy
Ste 5010
Dallas, TX 75207

Organizations & group practices 4

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": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1841999679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "312-535-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "312-535-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "11979-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "11979-M",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.