Individual provider Active NPI

Juli Chaffee, MSW LSW

  • Social Worker
  • McHenry, IL
National Provider Identifier
1992083026
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150004780 Issued in IL
Practice address
4306 W Crystal Lake Rd Ste C
McHenry, IL 60050-4249
Phone
(877) 375-3484
Fax
(877) 375-3484
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150004780 IL Primary

Addresses

Primary practice location

4306 W Crystal Lake Rd Ste C
McHenry, IL 60050-4249

Mailing address

713 Autumn Oaks CT
Volo, IL 60073-8200
Phone (815) 566-0887

Other practice location 1

1580 N Northwest Hwy Ste 115
Park Ridge, IL 60068-1470
Phone (877) 375-3484

Other names 1

  • Juli Chandler Former name

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
I20120803000153 IL Practitioner - Clinical Social Worker 6002062213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4306 W Crystal Lake Rd
Suite C
McHenry, IL 60050-4249
Phone (877) 375-3484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Juli K. Chaffee, Inc. Social Worker CurrentSince Jun 1, 2014 Accepting new patients

Locations

3510 Chapel Hill Rd
Johnsburg, IL 60051
Phone (815) 566-0887

61 S Old Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-4222

4306 W Crystal Lake Rd
Ste C
McHenry, IL 60050
Phone (815) 566-0887

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": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1992083026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 AUTUMN OAKS CT",
            "city": "VOLO",
            "state": "IL",
            "postal_code": "600738200",
            "telephone_number": "815-566-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 W CRYSTAL LAKE RD STE C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504249",
            "telephone_number": "877-375-3484",
            "fax_number": "877-375-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 N Northwest Hwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681470",
            "country_code": "US",
            "telephone_number": "877-375-3484",
            "fax_number": "877-375-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAFFEE",
        "first_name": "JULI",
        "credential": "MSW LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150004780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULI",
            "last_name": "CHANDLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.