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MADELYN M BURBANK LCSW
NPI 1730521972
Social Worker - Clinical in Hoffman Estates, IL

Active since July 29, 2013PECOS EnrolledAccepts Medicare Assignment
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60169(847) 755-8090(847) 843-7393 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madelyn M Burbank Lcsw NPPES

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

MADELYN M BURBANK LCSW (NPI 1730521972) is an individual clinical provider in Hoffman Estates, Illinois, licensed in Illinois (149.017485) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1730521972
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMADELYN M BURBANKCredential: LCSW
Location Address1786 MOON LAKE BLVD, SUITE 104Hoffman Estates, IL 60169-5029
Mailing Address1786 Moon Lake Blvd, Suite 104Hoffman Estates, IL 60169-5029 · (847) 755-8090 · Fax (847) 843-7393
Phone(847) 755-8090
Fax(847) 843-7393
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 29, 2013
Last NPPES UpdateJune 22, 2015
✔ NPI 1730521972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.017485
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 150.013807 (IL)
1786 MOON LAKE BLVD, Hoffman Estates, IL 60169
Open in Google Maps ↗

Other Names 1

Former Name (1)Madelyn Amenta Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madelyn M Burbank Lcsw 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 ID4284948886
PECOS Enrollment IDI20150727001489
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 Madelyn Burbank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alexian Brothers Behavioral Health Hospital
Same address
Psychiatry
1786 MOON LAKE BLVD STE 104
Hoffman Estates, IL 60169
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1801318928 (847) 755-8090

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 60169 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
2%805 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 8% · 39 patients
8%39 patients
Provide Patients Electronic Access to Their Health Information
85%34 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

THERESA B MIKOSZ LCPC
Counselor (Professional)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60169
Cook County (847) 755-8090
MS. MARGUERITE MARTINO L.C.P.C., A.T.R.
Counselor (Professional)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60169
Cook County (847) 755-8090
MARIA G. BELLANTUONO LCPC
Counselor (Professional)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60169
Cook County (847) 755-8090
MISS LAUREN BANTNER
Counselor (Professional)
1786 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Cook County (847) 755-8536
KAREN S DICKEN APN/CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
1786 MOON LAKE BLVD, #104
HOFFMAN ESTATES, IL 60169
Cook County (847) 755-8090
GEORGE POLKE L.C.P.C.
Counselor (Professional)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60169
Cook County (847) 755-8090
THERESE DRAPER APN
Nurse Practitioner (Psychiatric/Mental Health)
1786 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Cook County (847) 843-2000
LAURA BAUER APN, NP
Nurse Practitioner (Psychiatric/Mental Health)
1786 MOON LAKE BLVD, SUITE 104
HOFFMAN ESTATES, IL 60169
Cook County (847) 755-8090

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 Madelyn Burbank's NPI number?

The NPI number for Madelyn Burbank is 1730521972. It was assigned to this individual provider in the NPPES registry on July 29, 2013. The provider is also known as Madelyn Amenta Lcsw.

Where is Madelyn Burbank located?

Madelyn Burbank practices at 1786 Moon Lake Blvd Suite 104, Hoffman Estates, IL 60169. The listed phone number is (847) 755-8090.

What is Madelyn Burbank's specialty?

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

Is Madelyn Burbank enrolled in Medicare?

Yes. Madelyn Burbank 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.

Which organization bills Medicare for Madelyn Burbank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madelyn Burbank reassigns Medicare benefits to Alexian Brothers Behavioral Health Hospital (Hoffman Estates, 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 Madelyn Burbank'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 Madelyn Burbank was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.