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DONNA SWANSON LCSW
NPI 1215328190
Social Worker - Clinical in Plainfield, IL

Active since February 12, 2015PECOS EnrolledAccepts Medicare Assignment
10204 BODE ST STE B, PLAINFIELD, IL 60585(855) 241-7160(954) 324-8354 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donna Swanson Lcsw NPPES

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

DONNA SWANSON LCSW (NPI 1215328190) is an individual clinical provider in Plainfield, Illinois, licensed in Illinois (149-009082) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1995).

NPPES Registry Identity

NPI1215328190
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDONNA SWANSONCredential: LCSW
Location Address10204 BODE ST STE BPlainfield, IL 60585-9813
Mailing Address10204 Bode St Ste BPlainfield, IL 60585-9813 · (855) 241-7160 · Fax (954) 324-8354
Phone(855) 241-7160
Fax(954) 324-8354
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1995
Enumeration DateFebruary 12, 2015
Last NPPES UpdateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1215328190 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 · 149-009082
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.
10204 BODE ST STE B, Plainfield, IL 60585
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Donna Swanson 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 ID6709103666
PECOS Enrollment IDI20150402001768, I20260511003222
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 Reassignments

4

Medicare enrollment records show Donna Swanson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Moon Senior Counseling Of Illinois LLC
Same address
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1841562931 (855) 241-7160
Edgewood Clinical Services, P.C.
2.8 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
Memorycare Corporation
5.7 mi
Speech-Language Pathologist
1057 CHADWICK CT
Aurora, IL 60502
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1609193515 (630) 800-2444
Soul In Mind Counseling PLLC
6.2 mi
Clinical
24012 W MAIN ST STE 106
Plainfield, IL 60544
  • Reassigned Medicare billing, Illinois enrollment
NPI 1447109772 (630) 631-6948

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
499 services35 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
130 services25 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
62 services20 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60585 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIKTORIJA BENNETT
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (630) 896-7160
BLUE MOON SENIOR COUNSELING
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (855) 241-7160
BMSC TX LLC
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (855) 241-7160
BLUE MOON SENIOR COUNSELING OF CALIFORNIA LLC
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (855) 241-7160
MS. MELANIE DONOHUE LCSW
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (855) 241-7160
BMSC US LLC
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (855) 241-7160
BMSC AZ LLC
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (855) 241-7160
VICTORIA LYNN WASULKO
Social Worker (Clinical)
10204 BODE ST STE B
PLAINFIELD, IL 60585
Will County (855) 241-7160

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 Donna Swanson's NPI number?

The NPI number for Donna Swanson is 1215328190. It was assigned to this individual provider in the NPPES registry on February 12, 2015.

Where is Donna Swanson located?

Donna Swanson practices at 10204 Bode St Ste B, Plainfield, IL 60585. The listed phone number is (855) 241-7160.

What is Donna Swanson's specialty?

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

Is Donna Swanson enrolled in Medicare?

Yes. Donna Swanson 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 organizations bill Medicare for Donna Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Swanson reassigns Medicare benefits to 4 organizations: Blue Moon Senior Counseling Of Illinois LLC (Plainfield, IL), Edgewood Clinical Services, P.C. (Naperville, IL), Memorycare Corporation (Aurora, IL) and Soul In Mind Counseling PLLC (Plainfield, IL). Each 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 Donna Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Swanson accept?

Health plans from Oscar Health list Donna Swanson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donna Swanson was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.