CAROLINE WYSGALLA LCSW - NPI 1417601550 - Social Worker in Chicago, IL

Q: What is Caroline Wysgalla's NPI number?

The NPI number for Caroline Wysgalla is 1417601550. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Q: What is Caroline Wysgalla'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 Caroline Wysgalla was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Caroline Wysgalla Lcsw NPPES

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

CAROLINE WYSGALLA LCSW (NPI 1417601550) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.028147) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417601550

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCAROLINE WYSGALLACredential: LCSW

Location Address1165 N CLARK ST STE 305Chicago, IL 60610-7862

Mailing Address1165 N Clark St Ste 305Chicago, IL 60610-7862 · (312) 880-9913 · Fax (844) 787-9891

Phone(312) 880-9913

Fax(844) 787-9891

Sole ProprietorNo

Enumeration DateFebruary 8, 2022

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1417601550 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 · 149.028147

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.

1165 N CLARK ST STE 305, Chicago, IL 60610

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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 (PECOS)

Caroline Wysgalla 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 60610 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.