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MS. CYNTHIA DUARTE LCSW
NPI 1982251617
Social Worker - Clinical in Crystal Lake, IL

Active since August 19, 2019PECOS EnrolledAccepts Medicare Assignment
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014(815) 444-9999 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2026, Apr 9, 2026, Aug 19, 2019 (3 updates tracked since 2019).

About Ms. Cynthia Duarte Lcsw NPPES

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

MS. CYNTHIA DUARTE LCSW (NPI 1982251617) is an individual clinical provider in Crystal Lake, Illinois, licensed in Illinois (149.031635) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1982251617
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CYNTHIA DUARTECredential: LCSW
Location Address145 S VIRGINIA STCrystal Lake, IL 60014-7226
Mailing Address145 S Virginia StCrystal Lake, IL 60014-7226 · (815) 444-9999
Phone(815) 444-9999
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 19, 2019
Last NPPES UpdateApril 24, 20263 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1982251617 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 · 149.031635
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
145 S VIRGINIA ST, Crystal Lake, IL 60014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Ms. Cynthia Duarte 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 ID1456829456
PECOS Enrollment IDI20260507003706
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 Cynthia Duarte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mathers Clinic, LLC
1.9 mi
Community/Behavioral Health
145 S VIRGINIA ST
Crystal Lake, IL 60014
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1447610381 (815) 444-9999

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 60014 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

ANGELICA SOTO MSN,APRN,PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
EMILY ANNE CORSON
Social Worker (Clinical)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
MICHAEL THIEL
Counselor (Professional)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 397-7654
DR. RAMESH BABU VEMURI M.D.
Psychiatry & Neurology (Psychiatry)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
STEPHANIE ROUSE
Social Worker (Clinical)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
DONNA LYNN DEROSE APN
Nurse Practitioner (Psychiatric/Mental Health)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
MATHERS CLINIC LLC
Psychiatry & Neurology (Psychiatry)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
ANDREW TAIT GORDINIER
Counselor
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999

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 Cynthia Duarte's NPI number?

The NPI number for Cynthia Duarte is 1982251617. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Cynthia Duarte located?

Cynthia Duarte practices at 145 S Virginia St, Crystal Lake, IL 60014. The listed phone number is (815) 444-9999.

What is Cynthia Duarte's specialty?

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

Is Cynthia Duarte enrolled in Medicare?

Yes. Cynthia Duarte 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 Cynthia Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Duarte reassigns Medicare benefits to Mathers Clinic, LLC (Crystal Lake, 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 Cynthia Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Duarte accept?

Health plans from Oscar Health list Cynthia Duarte 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 Cynthia Duarte was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.