MARLY MATHES LCSW
NPI 1144056037
Social Worker - Clinical in Chicago, IL

Active since September 09, 2024Opted out of Medicare · through Sep 19, 2026
2314 W WABANSIA AVE APT 2E, CHICAGO, IL 60647(847) 707-3308 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Sep 9, 2024 (2 updates tracked since 2024).

About Marly Mathes Lcsw NPPES

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

MARLY MATHES LCSW (NPI 1144056037) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.025458) and active in the NPI registry since September 2024. She has opted out of Medicare through September 19, 2026.

NPPES Registry Identity

NPI1144056037
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARLY MATHESCredential: LCSW
Location Address2314 W WABANSIA AVE APT 2EChicago, IL 60647-6487
Mailing Address2314 W Wabansia Ave Apt 2eChicago, IL 60647-6487 · (847) 707-3308
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1144056037 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 · 149.025458
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.
2314 W WABANSIA AVE APT 2E, Chicago, IL 60647

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Marly Mathes Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 19, 2024 through September 19, 2026.

Opt-Out Effective DateSeptember 19, 2024
Opt-Out In Effect ThroughSeptember 19, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Marly Mathes's NPI number?

The NPI number for Marly Mathes is 1144056037. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Marly Mathes located?

Marly Mathes practices at 2314 W Wabansia Ave Apt 2E, Chicago, IL 60647. The listed phone number is (847) 707-3308.

What is Marly Mathes's specialty?

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

Is Marly Mathes enrolled in Medicare?

No. Marly Mathes has opted out of Medicare through September 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marly Mathes was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.