ANTHONY JOHN PORCARO (LCSW) – Clinical Social Worker, NPI 1114814365

ANTHONY JOHN PORCARO (LCSW) is a healthcare provider. based in Bolingbrook, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.027988 (IL). The NPI Number for ANTHONY JOHN PORCARO (LCSW) is 1114814365

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY JOHN PORCARO (LCSW)
NPI
1114814365
Phone
(630) 915-6644
Address
105 OAKWOOD DR
Enumeration Date
20 June 2025
Last Update Date
20 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308945058
Graduation Year
2017 (9 years ago)
PAC ID
8729591532
Group Practice PAC ID
0143547117
Professional Enrollment ID
I20250703000012
Address ID
IL601721903RO31XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for ANTHONY JOHN PORCARO (LCSW)

  • 105 OAKWOOD DR

    BOLINGBROOK, IL 604402828

    Phone: (630) 915-6644

    Type: Mailing

  • 6800 JOLIET RD

    INDIAN HEAD PARK, IL 605254460

    Phone: (708) 246-8500

    Type: Location

  • 31 Central Ave

    Roselle, IL 601721903

    Phone: (630) 894-5058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250703000012IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143547117View full group profile
NameSpecialtyState
Clinical Social WorkerIN
-IN
Mental Health CounselorIL
Clinical Social WorkerTX
Nurse PractitionerIL
Nurse PractitionerIL
-IL
-IL
Nurse PractitionerIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is ANTHONY JOHN PORCARO (LCSW) listed with a National Provider Identifier?
Yes — ANTHONY JOHN PORCARO (LCSW) has NPI 1114814365 on file in the registry.
Is ANTHONY JOHN PORCARO (LCSW) still an active registrant?
ANTHONY JOHN PORCARO (LCSW) carries an active NPI according to the public dataset.
What kind of doctor is ANTHONY JOHN PORCARO (LCSW)?
ANTHONY JOHN PORCARO (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is ANTHONY JOHN PORCARO (LCSW) associated with Bolingbrook?
Public fields place ANTHONY JOHN PORCARO (LCSW) around Bolingbrook, Illinois. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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