Individual provider Active NPI

Anne Marie Roupas, LCSW, CADC

  • Clinical Social Worker
  • Dalton, GA
National Provider Identifier
1992058077
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009705 Issued in GA
Practice address
109 W Morris St Ste B
Dalton, GA 30720-8401
Phone
(630) 504-0705
NPI assigned
Oct 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149015527 IL
Clinical Social Worker 1041C0700X CSW009705 GA Primary

Addresses

Primary practice location

109 W Morris St Ste B
Dalton, GA 30720-8401

Mailing address

109 W Morris St Ste B
Dalton, GA 30720-8401
Phone (630) 504-0705

Other practice location 1

3225 Shallowford Rd Ste 500
Marietta, GA 30062-7024
Phone (630) 504-0705

Other practice location 2

9631 W 153rd St Ste 33
Orland Park, IL 60462-3778
Phone (630) 504-0705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180531002009 IL Practitioner - Clinical Social Worker 2860757424 Reassigns benefits to 3 organizations
I20260302003191 GA Practitioner - Clinical Social Worker 2860757424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
The University of Chicago Medical CenterGroup PAC ID 7618880766, 907 clinicians

Practice addresses (Care Compare)

109 W Morris St
Suite B
Dalton, GA 30720-8401

4619 Bamburg Ave
Rockford, IL 61109-6702

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

9631 W 153Rd St
Suite 33
Orland Park, IL 60462-3778
Phone (630) 504-0705

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009705GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Hope Counseling PC Clinical CurrentSince Apr 25, 2018 Accepting new patients
University of Chicago CurrentSince Oct 19, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 28, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 28, 2018 Accepting new patients

Locations

109 W Morris St
Ste B
Dalton, GA 30720
Phone (630) 504-0705

3225 Shallowford Rd
Ste 500
Marietta, GA 30062
Phone (630) 504-0705

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

10 E 22nd St
Ste 215
Lombard, IL 60148
Phone (630) 504-0705

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

9631 W 153rd St
Ste 33
Orland Park, IL 60462
Phone (630) 504-0705

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1992058077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MORRIS ST STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208401",
            "telephone_number": "630-504-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MORRIS ST STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208401",
            "telephone_number": "630-504-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 SHALLOWFORD RD STE 500",
            "address_purpose": "LOCATION",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627024",
            "country_code": "US",
            "telephone_number": "630-504-0705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9631 W 153rd St Ste 33",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623778",
            "country_code": "US",
            "telephone_number": "630-504-0705",
            "fax_number": "630-383-7228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUPAS",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015527",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.