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MS. AMANDA CREDEN FAIRGRIEVE LCSW
NPI 1346691946
Social Worker - Clinical in Chicago, IL

Active since June 24, 2016PECOS Enrolled
1611 W HARRISON ST STE 106B, CHICAGO, IL 60612(312) 563-0830 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Amanda Creden Fairgrieve Lcsw NPPES

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

MS. AMANDA CREDEN FAIRGRIEVE LCSW (NPI 1346691946) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.018589) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1346691946
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. AMANDA CREDEN FAIRGRIEVECredential: LCSW
Location Address1611 W HARRISON ST STE 106BChicago, IL 60612-4861
Mailing Address1611 W Harrison St Ste 106bChicago, IL 60612-4861 · (312) 563-0830
Phone(312) 563-0830
Sole ProprietorYes
Enumeration DateJune 24, 2016
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1346691946 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 · 149.018589
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.
1611 W HARRISON ST STE 106B, Chicago, IL 60612
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Secondary Practice Location 1

Location 1710 S Paulina St, Suite 438Chicago, IL 60612-3808 · Phone (800) 757-0202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amanda Creden Fairgrieve 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Fairgrieve reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rush University Medical Group
0.1 mi
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,169 clinicians in this Medicare group
NPI 1093819542 (312) 942-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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 5

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

ROBYN MARIKO SHIGEMITSU-BUCKLER LCSW
Social Worker (Clinical)
1611 W HARRISON ST STE 106B
CHICAGO, IL 60612
Cook County (312) 563-0830
GRACE KIM
Registered Nurse
1611 W HARRISON ST STE 106B
CHICAGO, IL 60612
Cook County (312) 563-0830
ELISABETH RAMSEY
Social Worker (Clinical)
1611 W HARRISON ST STE 106B
CHICAGO, IL 60612
Cook County (312) 563-0830
DR. JENNA KARAGIANIS NIKOLAIDES M.D.
Emergency Medicine
1611 W HARRISON ST STE 106B
CHICAGO, IL 60612
Cook County (312) 563-0830
JONATHAN SCHULZ PA-C
Physician Assistant
1611 W HARRISON ST STE 106B
CHICAGO, IL 60612
Cook County (312) 563-0830

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 Amanda Fairgrieve's NPI number?

The NPI number for Amanda Fairgrieve is 1346691946. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Amanda Fairgrieve located?

Amanda Fairgrieve practices at 1611 W Harrison St Ste 106B, Chicago, IL 60612. The listed phone number is (312) 563-0830.

What is Amanda Fairgrieve's specialty?

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

Is Amanda Fairgrieve enrolled in Medicare?

Yes. Amanda Fairgrieve is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Fairgrieve's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Fairgrieve reassigns Medicare benefits to Rush University Medical Group (Chicago, IL). The 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 Amanda Fairgrieve's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Fairgrieve was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.