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MS. KATHLEEN ERIN ECCLES LCSW
NPI 1104058114
Social Worker - Clinical in Chicago, IL

Active since August 10, 2009PECOS EnrolledAccepts Medicare Assignment
3751 N PULASKI RD, CHICAGO, IL 60641(773) 463-1200(773) 463-1201 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kathleen Erin Eccles Lcsw NPPES

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

MS. KATHLEEN ERIN ECCLES LCSW (NPI 1104058114) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149013183) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104058114
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHLEEN ERIN ECCLESCredential: LCSW
Location Address3751 N PULASKI RDChicago, IL 60641-3136
Mailing Address401 E Prospect Ave, Ste 214Mt Prospect, IL 60056-3396 · (773) 750-1776
Phone(773) 463-1200
Fax(773) 463-1201
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 10, 2009
Last NPPES UpdateJanuary 24, 2018
✔ NPI 1104058114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149013183
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.
3751 N PULASKI RD, Chicago, IL 60641
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Other Names 1

Former Name (1)Ms. Kathleen Erin Debock

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathleen Erin Eccles Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577701028
PECOS Enrollment IDI20130523000224
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 Kathleen Eccles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Therapeutic Services, LLC
13 mi
Clinical
200 E EVERGREEN AVE STE 106
Mount Prospect, IL 60056
  • Reassigned Medicare billing, Illinois enrollment
NPI 1568694578 (847) 749-3807

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 60641 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Kathleen Eccles's NPI number?

The NPI number for Kathleen Eccles is 1104058114. It was assigned to this individual provider in the NPPES registry on August 10, 2009. The provider is also known as Ms. Kathleen Erin Debock.

Where is Kathleen Eccles located?

Kathleen Eccles practices at 3751 N Pulaski Rd, Chicago, IL 60641. The listed phone number is (773) 463-1200.

What is Kathleen Eccles's specialty?

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

Is Kathleen Eccles enrolled in Medicare?

Yes. Kathleen Eccles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kathleen Eccles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Eccles reassigns Medicare benefits to Thrive Therapeutic Services, LLC (Mount Prospect, 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 Kathleen Eccles'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 Kathleen Eccles was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.