Emily Honora Mysel, LCSW
Individual provider Active NPI Clinical Social Worker · Glencoe, IL
NPI 1982194882 · NPPES record last updated May 16, 2018
Key facts
- NPI
- 1982194882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.016616 (IL)
- Practice address
- 675 Village CT
Glencoe, IL 60022-1609 - Phone
- (847) 835-5111
- NPI assigned
- May 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Service of Glencoe
Practice addresses (Care Compare)
675 Village CT
Suite 2
Glencoe, IL 60022-1609
Phone (847) 835-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180709000830 | IL | Practitioner - Clinical Social Worker | 3678829595 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016616 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of Glencoe | Current |
Accepting new patients |
Locations
675 Village Ct
Ste 2
Glencoe, IL 60022
Phone (847) 835-5111
361 Park Ave
Ste 202
Glencoe, IL 60022
Phone (847) 835-5111
675 Village Ct
Glencoe, IL 60022
Phone (847) 835-4112
320 Tudor Ct
#2
Glencoe, IL 60022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.016616 | IL | Yes |
Addresses
Primary practice location
675 Village CT
Glencoe, IL 60022-1609
Mailing address
675 Village CT
Glencoe, IL 60022-1609
Phone (847) 835-5111
Other providers in Glencoe, IL
- Michael S Black PH D and Park Psychological Services LTD
- Julie M Milne
- Mindful Relationships and Parenting PLLC
- Miriam Fishman, Psy.D., LLC
- Eric Montes
- Denise L Nalaboff
- Neuro-Diagnostic Institute LLC
- Iris Newman
- Esther Marsha Nitzarim
- Nolanworks, LLC.
All providers in Glencoe, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.