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THERESA PENDERGRAFF
NPI 1245747542
Social Worker - Clinical in Chicago, IL

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment
4150 N KILBOURN AVE, CHICAGO, IL 60641(312) 342-8155 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2022, Jan 8, 2018 (2 updates tracked since 2018).

About Theresa Pendergraff NPPES

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

THERESA PENDERGRAFF (NPI 1245747542) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149018482) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1245747542
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA PENDERGRAFF
Location Address4150 N KILBOURN AVEChicago, IL 60641-1913
Mailing Address4150 N Kilbourn AveChicago, IL 60641-1913 · (312) 342-8155
Phone(312) 342-8155
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 8, 2018
Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1245747542 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 · 149018482
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.
4150 N KILBOURN AVE, Chicago, IL 60641
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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

Theresa Pendergraff 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 ID648627505
PECOS Enrollment IDI20231114002992
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 60641 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

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

TELEO LOGISTICS LLC
Social Worker (Clinical)
4150 N KILBOURN AVE
CHICAGO, IL 60641
Cook County (312) 342-8155

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 Theresa Pendergraff's NPI number?

The NPI number for Theresa Pendergraff is 1245747542. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Theresa Pendergraff located?

Theresa Pendergraff practices at 4150 N Kilbourn Ave, Chicago, IL 60641. The listed phone number is (312) 342-8155.

What is Theresa Pendergraff's specialty?

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

Is Theresa Pendergraff enrolled in Medicare?

Yes. Theresa Pendergraff 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.

When was this NPI record last updated?

The NPPES record for Theresa Pendergraff was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.