Individual provider Active NPI

Ilyssa Hoffman Marks, LCSW

  • Clinical Social Worker
  • Elmhurst, IL
National Provider Identifier
1972077147
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020872 Issued in IL
Practice address
340 W Butterfield Road
Suite 4B
Elmhurst, IL 60126
Phone
(813) 318-2120
NPI assigned
Jan 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 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 149.020872 IL Primary

Addresses

Primary practice location

340 W Butterfield Road
Suite 4B
Elmhurst, IL 60126

Mailing address

121 S Vail Ave Apt 204
Arlington Heights, IL 60005-1854
Phone (813) 318-2120

Other practice location 1

121 S Vail Ave Apt 204
Arlington Heights, IL 60005-1854
Phone (813) 318-2120

Other names 1

  • Ms. Ilyssa Rachel Hoffman Former name

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
149.020872ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thoughtflow Therapy LLC Clinical Current Accepting new patients

Locations

340 W Butterfield Rd
Ste 4B
Elmhurst, IL 60126
Phone (630) 216-4275

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

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": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1972077147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S VAIL AVE APT 204",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051854",
            "telephone_number": "813-318-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD ROAD",
            "address_2": "SUITE 4B",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "813-318-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Vail Ave Apt 204",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600051854",
            "country_code": "US",
            "telephone_number": "813-318-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "ILYSSA",
        "middle_name": "HOFFMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILYSSA",
            "last_name": "HOFFMAN",
            "middle_name": "RACHEL",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.