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Mary Ellen Withers, LCSW, LISW

NPI 1194040329ActiveIndividual· Social Worker, Clinical· Oak Park, IL

Social Worker, Clinical (LCSW, LISW) in Oak Park, Illinois, licensed in IA and IL, with an NPI issued in March 2010. Medicare paid $23,326 for services to 17 patients in 2024.

Overview

NPI1194040329
StatusActive
Entity typeIndividual
CredentialLCSW, LISW
Sole proprietorYes
NPI issuedMar 31, 2010
Last updated in NPPESJun 13, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X007177IA
Social Worker, Clinical1041C0700X149.005998IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients17
Services billed305 across 3 procedure codes
Paid by Medicare$23,326

Medicare sources and data years

Education and affiliations

Graduation year1990
Medicare specialtyClinical Social Worker
TelehealthOffers telehealth

Source: CMS Care Compare

Other clinical social workers in Oak Park

All 348 clinical social workers in Oak Park · All clinical social workers in Illinois