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

Q: What is Thomas Undine's NPI number?

The NPI number for Thomas Undine is 1245499151. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Q: What is Thomas Undine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Undine was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

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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, is affiliated with Tamarack Health Ashland Medical Center, and is a graduate of Other (2006).

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

Phone(773) 207-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas Robert Undine 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 ID9830213503

PECOS Enrollment IDI20220922003922

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521359

Location1615 Maple LaneAshland, WI 54806 · Ashland County

Emergency services

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 7

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

KATHRYN MARIE KENDZIOR MA, CF-SLP

Speech-Language Pathologist