Individual provider Active NPI

Melissa Kwafo

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1902239460
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017972 Issued in IL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429000512 IL Practitioner - Clinical Social Worker 6103126966 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
MK Counseling and Wellness, PLLC Mental Health CurrentSince Jul 13, 2025 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

Verify at the official NPI Registry.