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MCKAYLA P FATA MSW, LSW, LCSW
NPI 1053013334
Social Worker - Clinical in Oswego, IL

Active since March 20, 2023PECOS Enrolled
1 E MERCHANTS RD, SUITE 300, OSWEGO, IL 60543(630) 428-7890(630) 428-7891 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Oct 2, 2024, Mar 20, 2023 (3 updates tracked since 2023).

About Mckayla P Fata Msw, Lsw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKAYLA P FATA MSW, LSW, LCSW (NPI 1053013334) is an individual clinical provider in Oswego, Illinois, licensed in Illinois (149041277) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053013334
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMCKAYLA P FATACredential: MSW, LSW, LCSW
Location Address1 E MERCHANTS RD, SUITE 300Oswego, IL 60543
Mailing Address1 E Merchants Rd, Suite 300Oswego, IL 60543 · (630) 428-7890 · Fax (630) 428-7891
Phone(630) 428-7890
Fax(630) 428-7891
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1053013334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149041277
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 150114286 (IL)
1 E MERCHANTS RD, Oswego, IL 60543
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Other Names 1

Former Name (1)Mckayla Scroggins

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckayla P Fata Msw, Lsw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779049242
PECOS Enrollment IDI20260727001038
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mckayla Fata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.
6.0 mi
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group
NPI 1295914646 (630) 428-7890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60543 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckayla Fata's NPI number?

The NPI number for Mckayla Fata is 1053013334. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Mckayla Scroggins.

Where is Mckayla Fata located?

Mckayla Fata practices at 1 E Merchants Rd Suite 300, Oswego, IL 60543. The listed phone number is (630) 428-7890.

What is Mckayla Fata's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mckayla Fata enrolled in Medicare?

Yes. Mckayla Fata is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mckayla Fata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckayla Fata reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mckayla Fata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mckayla Fata was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.