EMILY GRACE ELLSWORTH I LCSW
NPI 1356024707
Social Worker - Clinical in Chicago, IL

Active since August 11, 2023PECOS Enrolled
1400 W GREENLEAF AVE, CHICAGO, IL 60626(312) 806-9627 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emily Grace Ellsworth I Lcsw NPPES

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

EMILY GRACE ELLSWORTH I LCSW (NPI 1356024707) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.025332) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356024707
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY GRACE ELLSWORTH ICredential: LCSW
Location Address1400 W GREENLEAF AVEChicago, IL 60626-2805
Mailing Address2236 W Logan Blvd Apt 2Chicago, IL 60647-2115 · (928) 242-4367
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 11, 2023
NPPES CertifiedAugust 11, 2023
NPI 1356024707 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 · 149.025332
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.

1400 W GREENLEAF AVE, Chicago, IL 60626

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emily Grace Ellsworth I Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991168213
PECOS Enrollment IDI20230901002570
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 60626 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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
1400 W GREENLEAF AVE
CHICAGO, IL 60626
Counselor
1400 W GREENLEAF AVE
CHICAGO, IL 60626
Occupational Therapist
1400 W GREENLEAF AVE
CHICAGO, IL 60626
Social Worker (Clinical)
1400 W GREENLEAF AVE
CHICAGO, IL 60626
Counselor (Professional)
1400 W GREENLEAF AVE
CHICAGO, IL 60626
Social Worker (Clinical)
1400 W GREENLEAF AVE
CHICAGO, IL 60626
Social Worker (Clinical)
1400 W GREENLEAF AVE
CHICAGO, IL 60626
Social Worker (Clinical)
1400 W GREENLEAF AVE
CHICAGO, IL 60626

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 Emily Ellsworth's NPI number?

The NPI number for Emily Ellsworth is 1356024707. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Emily Ellsworth located?

Emily Ellsworth practices at 1400 W Greenleaf Ave, Chicago, IL 60626. The listed phone number is (312) 806-9627.

What is Emily Ellsworth's specialty?

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

Is Emily Ellsworth enrolled in Medicare?

Yes. Emily Ellsworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Ellsworth was last updated on August 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.