Individual provider Active NPI

Caitlin Marie Clay, MSW, LCSW

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1871273235
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026862 Issued in IL
Practice address
1315 N Highland Ave Ste 202
Aurora, IL 60506-1460
Phone
(630) 394-1379
Fax
(331) 239-2705
NPI assigned
Jul 20, 2023
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.026862 IL Primary

Addresses

Primary practice location

1315 N Highland Ave Ste 202
Aurora, IL 60506-1460

Mailing address

1315 N Highland Ave Ste 202
Aurora, IL 60506-1460
Phone (630) 394-1379

Other names 1

  • Caitlin Clay Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240724004363 IL Practitioner - Clinical Social Worker 3375089436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicagoland Counseling PLLCGroup PAC ID 5193171346, 7 clinicians

Practice addresses (Care Compare)

1315 N Highland Ave
Suite 202
Aurora, IL 60506-1460
Phone (630) 394-1379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026862ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Counseling PLLC Clinical CurrentSince Aug 12, 2024 Accepting new patients

Locations

1315 N Highland Ave
Ste 202
Aurora, IL 60506
Phone (630) 394-1379

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1871273235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE STE 202",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061460",
            "telephone_number": "630-394-1379",
            "fax_number": "331-239-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE STE 202",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061460",
            "telephone_number": "630-394-1379",
            "fax_number": "331-239-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "CLAY",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.