Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edwin Joseph Thullen, LCSW

Individual provider Mental Health Counselor · NPI 1598288870

Edwin Joseph Thullen, LCSW is a Clinical Social Worker in New Lenox, Illinois. Qualified in 2011, 15 years ago. Practices with Copper Country Community Mental Health Services, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2017
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

1938 E Lincoln Hwy Unit 219
New Lenox, IL 60451-3860
Phone: (815) 320-3749
Fax: (815) 320-3825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 149.018135 (IL)

Record details

NPI number1598288870
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESJuly 19, 2017
Mailing address3105 W 102nd St, Evergreen Park, IL 60805-3516

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Copper Country Community Mental Health Services — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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