MR. THOMAS ROBERT UNDINE LCSW
NPI 1245499151
Social Worker - Clinical in Chicago, IL

Active since June 05, 2008PECOS Enrolled
4958 N MILWAUKEE AVE, CHICAGO, IL 60630(773) 207-8500 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Thomas Robert Undine Lcsw NPPES

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

MR. THOMAS ROBERT UNDINE LCSW (NPI 1245499151) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.013059) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245499151
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THOMAS ROBERT UNDINECredential: LCSW
Location Address4958 N MILWAUKEE AVEChicago, IL 60630
Mailing Address2901 Finley Rd, Suite 102Downers Grove, IL 60515-1041 · (630) 495-6800 · Fax (630) 495-8200
Sole ProprietorNo
Enumeration DateJune 5, 2008
Last NPPES UpdateJuly 21, 2008
NPI 1245499151 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 · 149.013059
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 ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 2239902 (IL)
4958 N MILWAUKEE AVE, Chicago, IL 60630

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Thomas Robert Undine Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60630 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.

Other Providers at the Same Location NPPES 8

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

Speech-Language Pathologist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630
Speech-Language Pathologist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630
Speech-Language Pathologist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630
Speech-Language Pathologist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630
Speech-Language Pathologist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630
Speech-Language Pathologist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630
Speech-Language Pathologist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630
Occupational Therapist
4958 N MILWAUKEE AVE
CHICAGO, IL 60630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245499151, enumerated as an "individual" on June 05, 2008.

The provider is located at 4958 N MILWAUKEE AVE CHICAGO, IL 60630 and the phone number is (773) 207-8500.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medica and Security Health Plan. Please consult your insurance carrier or call the provider to verify.