Individual provider Active NPI

Marcy Wilroy

  • Clinical Social Worker
  • Wheeling, IL
National Provider Identifier
1942631064
Registry record updated Dec 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016326 Issued in IL
Practice address
275 Oak Creek Dr
412
Wheeling, IL 60090-6700
Phone
(312) 493-3737
NPI assigned
Dec 1, 2013
Last updated
Dec 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2013

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 149016326 IL Primary

Addresses

Primary practice location

275 Oak Creek Dr
412
Wheeling, IL 60090-6700

Mailing address

275 Oak Creek Dr
412
Wheeling, IL 60090-6700
Phone (312) 493-3737

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
I20131227000998 IL Practitioner - Clinical Social Worker 2466689260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Blue Moon Senior Counseling of Illinois LLCGroup PAC ID 7012172893, 30 clinicians

Practice addresses (Care Compare)

10204 Bode St
Suite C
Plainfield, IL 60585-9813
Phone (630) 896-7160

637 E Golf Rd
Suite 210
Arlington Heights, IL 60005-4070
Phone (224) 592-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Counseling Services, LTD Clinical CurrentSince Oct 23, 2016 Accepting new patients
Blue Moon Senior Counseling of Illinois LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients

Locations

637 E Golf Rd
Ste 210
Arlington Hts, IL 60005
Phone (847) 228-6440

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

Organizations & group practices 2

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": "1385856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385856000000",
    "number": "1942631064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 OAK CREEK DR",
            "address_2": "412",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906700",
            "telephone_number": "312-493-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 OAK CREEK DR",
            "address_2": "412",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906700",
            "telephone_number": "312-493-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILROY",
        "first_name": "MARCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-01",
        "last_updated": "2013-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

Verify at the official NPI Registry.