Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Augustus C Edeh, LCSW

Individual provider Clinical Social Worker · NPI 1275807158

Augustus C Edeh, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2007, 19 years ago. Practices with Chicago Area Behavioral Health Services Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5658 S Kolin Ave Unit 2
Chicago, IL 60629-4839
Phone: (773) 412-7420
Fax: (773) 306-2675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.015078 (IL)

Record details

NPI number1275807158
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 24, 2012
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Chicago Area Behavioral Health Services Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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