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

MS. Phyllis Goldberg Maciulis, LCSW

Individual provider Clinical Social Worker · NPI 1396956538

MS. Phyllis Goldberg Maciulis, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 1975, 51 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Illinois.

Years since qualifying
51
Licensed in
IL
In the registry since
2007
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

1801 W 21st Pl
Chicago, IL 60608-4305
Phone: (312) 218-6627
Fax: (312) 506-0103
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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 149.008545 (IL)

Record details

NPI number1396956538
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESApril 21, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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