JUDY CARLSON – Clinical Social Worker, NPI 1265574123

JUDY CARLSON is a healthcare provider. based in Mchenry, Illinois. specializing in CLINICAL SOCIAL WORKER. The NPI Number for JUDY CARLSON is 1265574123

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
JUDY CARLSON
NPI
1265574123
Phone
(815) 385-6400
Address
4100 VETERANS PARKWAY
Enumeration Date
13 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479130393
Graduation Year
1993 (33 years ago)
PAC ID
5698937027
Group Practice PAC ID
4880698935
Professional Enrollment ID
I20120501000818
Address ID
IL600147442CR850XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JUDY CARLSON

  • 4100 VETERANS PARKWAY

    MCHENRY, IL 60050

    Phone: (815) 385-6400

    Mailing address matches the actual address.

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: 2012-05-01

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
I20120501000818IClinical 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 60050)

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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: 4880698935View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What federal number belongs to JUDY CARLSON?
The federal identifier for JUDY CARLSON is NPI 1265574123.
Is JUDY CARLSON currently active in the NPI registry?
CMS-published data lists JUDY CARLSON as an active registrant.
Does JUDY CARLSON list a primary specialty?
If you are matching referrals, note Clinical Social Worker for JUDY CARLSON. Clinical services aligned with this taxonomy classification.
Where is JUDY CARLSON's primary listing?
We display Mchenry, Illinois because that is what the record indicates for JUDY CARLSON.
What if Mchenry, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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