Individual provider Active NPI

Monique Spells, LSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1912618489
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.108504 Issued in IL
Practice address
4433 N Ravenswood Ave Ste 210
Chicago, IL 60640-7755
Phone
(773) 876-8763
Fax
(872) 315-3138
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 150.108504 IL Primary

Addresses

Primary practice location

4433 N Ravenswood Ave Ste 210
Chicago, IL 60640-7755

Mailing address

4433 N Ravenswood Ave Ste 210
Chicago, IL 60640-7755
Phone (773) 876-8763

Other identifiers 1

IdentifierTypeStateIssuer
150108504OtherILLSW

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

LicenseStateTypeSpecialty
150.108504ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Clinical Group, Inc Clinical CurrentSince Dec 13, 2022 Accepting new patients

Locations

4433 N Ravenswood Ave
Ste 210
Chicago, IL 60640
Phone (312) 834-5487

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1912618489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 N RAVENSWOOD AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407755",
            "telephone_number": "773-876-8763",
            "fax_number": "872-315-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 N RAVENSWOOD AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407755",
            "telephone_number": "773-876-8763",
            "fax_number": "872-315-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLS",
        "first_name": "MONIQUE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.108504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW",
            "identifier": "150108504",
            "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 Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.