NEELIMA DEVI PRABHALA MA, LCSW
NPI 1235625872
Social Worker - Clinical in Oak Brook, IL
NPI Status: Active since July 06, 2018
Contact Information
1000 JORIE BLVD STE 228
OAK BROOK, IL
ZIP 60523
Phone: (781) 308-8485
- Individual
- Female
- Years of Experience 4
- Social Worker
- Clinical
- May Accept Medicare Approved Payment
- Opted-Out Medicare
About NEELIMA PRABHALA
This page provides the complete NPI Profile along with additional information for Neelima Prabhala, a provider established in Oak Brook, Illinois with a medical specialization in Social Worker, focusing in clinical and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1235625872 assigned on July 2018. The practitioner's primary taxonomy code is 1041C0700X with license number 149.027727 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1235625872
- Provider Name
- NEELIMA DEVI PRABHALA MA, LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 JORIE BLVD STE 228 OAK BROOK, IL 60523
- Location Phone
- (781) 308-8485
- Mailing Address
- 1319 W CULLERTON ST APT 1F CHICAGO, IL 60608
- Mailing Phone
- (781) 308-8485
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-06-2018
- Last Update Date
- 10-07-2024
- Code Navigator
A clinical social worker like Neelima Prabhala is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Neelima Prabhala opted out of Medicare effective on 06-23-2025 until 06-23-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 5151 Mochel Dr Ste 304
Downers Grove, IL 60515
(630) 324-4663
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 149.027727
- License State
- IL
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Neelima Prabhala is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-23-2025
Opt-Out End Date: 06-23-2027
Eligible to Order and Refer? No
PECOS PAC ID: 3274051693
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250519002768
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235625872, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
OAK BROOK, IL 60523
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235625872, enumerated as an "individual" on July 06, 2018.
The provider is located at 1000 JORIE BLVD STE 228 OAK BROOK, IL 60523 and the phone number is (781) 308-8485.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
