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

Theresa Pendergraff

Individual provider Clinical Social Worker · NPI 1245747542

Theresa Pendergraff is a Clinical Social Worker in Chicago, Illinois. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

4150 N Kilbourn Ave
Chicago, IL 60641-1913
Phone: (312) 342-8155
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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 149018482 (IL)

Record details

NPI number1245747542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2018
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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