Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marianne L Costales-Roman, LCSW

Individual provider Clinical Social Worker · NPI 1710441555

Marianne L Costales-Roman, LCSW is a Clinical Social Worker in Bolingbrook, Illinois. Qualified in 1998, 28 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2019
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

130 N Weber Rd Ste 100
Bolingbrook, IL 60440-1519
Phone: (630) 646-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 640 S Washington St, Naperville, IL 60540-6603 — (815) 942-6323
  • 451 Dunham Rd Ste 400, Saint Charles, IL 60174-1431 — (630) 300-1502

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149012137 (IL)

Record details

NPI number1710441555
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 25, 2019
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bolingbrook