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THERESE OTOOLE LICSW
NPI 1679353403
Social Worker - Clinical in Evanston, IL

Active since September 29, 2023PECOS Enrolled
618 ELMWOOD AVE APT 1, EVANSTON, IL 60202(630) 337-6161 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Therese Otoole Licsw NPPES

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

THERESE OTOOLE LICSW (NPI 1679353403) is an individual clinical provider in Evanston, Illinois, licensed in Vermont (089.0135349) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679353403
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESE OTOOLECredential: LICSW
Location Address618 ELMWOOD AVE APT 1Evanston, IL 60202-4129
Mailing Address618 Elmwood Ave Apt 1Evanston, IL 60202-4129 · (630) 337-6161
Phone(630) 337-6161
Sole ProprietorYes
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1679353403 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 VT · 089.0135349
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.
618 ELMWOOD AVE APT 1, Evanston, IL 60202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Therese Otoole Licsw 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 60202 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.

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 Therese Otoole's NPI number?

The NPI number for Therese Otoole is 1679353403. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Therese Otoole located?

Therese Otoole practices at 618 Elmwood Ave Apt 1, Evanston, IL 60202. The listed phone number is (630) 337-6161.

What is Therese Otoole's specialty?

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

Is Therese Otoole enrolled in Medicare?

Yes. Therese Otoole is registered in the Medicare PECOS enrollment system.

What insurance does Therese Otoole accept?

Health plans from Anthem Blue Cross and Blue Shield list Therese Otoole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Therese Otoole was last updated on September 29, 2023. 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.