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

Mr. Thomas Robert Undine, LCSW

Individual provider School Social Worker · NPI 1245499151

Mr. Thomas Robert Undine, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2006, 20 years ago. Practices with Memorial Medical Center Inc, a 78-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2008
Specialties on file
2
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

4958 N Milwaukee Ave
Chicago, IL 60630
Phone: (773) 207-8500
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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 149.013059 (IL)
School Social Worker Taxonomy 1041S0200X · Licence 2239902 (IL)

Record details

NPI number1245499151
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 5, 2008
Last updated in NPPESJuly 21, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Memorial Medical Center Inc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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