Active NPI
Meghan McDonell, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1881366201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.023474
- Practice address
- 4610 N Clark St # 1304
Chicago, IL 60640-4620 - Phone
- (773) 236-0392
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.023474 | IL | Primary |
Addresses
Primary practice location
4610 N Clark St # 1304
Chicago, IL 60640-4620
Mailing address
4610 N Clark St # 1304
Chicago, IL 60640-4620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15411550 | Other | CAQH ID | |
| 149.023474 | Other | IL | LCSW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.023474 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1881366201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 N CLARK ST # 1304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 N CLARK ST # 1304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404620",
"telephone_number": "773-236-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONELL",
"first_name": "MEGHAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.023474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "15411550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "149.023474",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.