Melinda Alice Marx, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149006137 Issued in IL

Practice address

355 W Dundee Rd Ste 214
Buffalo Grove, IL 60089-3500

Phone

(847) 483-9701

Fax

(847) 483-9701

NPI assigned

Mar 29, 2006

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Mindy Marx Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 7, 2022 through Jul 7, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reflections Psychotherapy, P.C.

  • Clinical Social Worker
  • Buffalo Grove, IL
  • NPI 1588925903
  NPD Authorized official
• Sacred Spaces, Inc

  • Clinical Social Worker
  • Wheeling, IL
  • NPI 1720040595
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1851352801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 PRAIRIE AVE APT 2A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012267",
            "telephone_number": "847-483-9701",
            "fax_number": "847-483-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD STE 214",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "847-483-9701",
            "fax_number": "847-483-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9711 Skokie Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771384",
            "country_code": "US",
            "telephone_number": "847-483-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARX",
        "first_name": "MELINDA",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0001633978",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "MARX",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mariana Baker DDS PC
• Tanya Markov, APRN
• Jules A Marks, D.O.
• Margaret Weldon Marquardt, M.ED./ED.S., NCSP
• Marvin H Heimlich,OD (Buffalo Grove Eye Care Center)
• Enea Mastaka
• Della Mathew, MD
• Michelle Melissa Mattingly, AU.D.,CCC-A
• Ann Sylvia Matus, LCPC, CADC, NCC
• Madeline Maze

• Clinical Social Worker in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.