Allyson Marcella Wicherek, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014204 Issued in IL

Practice address

208 Manor Dr Unit D
New Lenox, IL 60451-3218

Phone

(815) 263-0645

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rodasi LLC

  • Mental Health Counselor
  • Hoffman Estates, IL
  • NPI 1467691790

  Clinical

  NPD

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1972093722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MANOR DR UNIT D",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MANOR DR UNIT D",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513218",
            "telephone_number": "815-263-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHEREK",
        "first_name": "ALLYSON",
        "middle_name": "MARCELLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Wemple
• Nikki Marie West, APRN, FNP-BC
• Donna Lee Westerberg
• Katrina Marie Westerberg, APRN
• Dawn White, RDN
• Kelly Wiese
• Brooke Willard
• William C. Guinta D.D.S. LTD.
• Denise Marie Williams
• Jeffrey J Williams, D.O.

• Clinical Social Worker in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.