Active NPI
Melissa Kwafo
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1902239460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149017972
- Practice address
- 1806 W Cuyler Ave Ste 2N
Chicago, IL 60613-2541 - Phone
- (312) 971-4437
- NPI assigned
- Aug 19, 2013
- Last updated
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 149017972 | IL | |
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | 149017972 | IL | Primary |
Addresses
Primary practice location
1806 W Cuyler Ave Ste 2N
Chicago, IL 60613-2541
Mailing address
1806 W Cuyler Ave Ste 2N
Chicago, IL 60613-2541
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1806 W Cuyler Ave
Chicago, IL 60613-2541
Phone (312) 883-7720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MK Counseling and Wellness, PLLC | Mental Health | Current | Accepting new patients |
Locations
1806 W Cuyler Ave
Ste 2N
Chicago, IL 60613
Phone (312) 883-7720
8001 Lincoln Ave
Ste 711
Skokie, IL 60077
Phone (224) 307-4728
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": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1902239460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 W CUYLER AVE STE 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132541",
"fax_number": "872-813-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W CUYLER AVE STE 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132541",
"telephone_number": "312-971-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAFO",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149017972",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149017972",
"primary": true
}
],
"identifiers": [],
"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 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.