Mary E Ticknor, LCSW, LICSW - Medicare Clinical Social Worker in Chicago, IL

Mary E Ticknor, LCSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1720 N La Salle Dr Apt 22, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (413) 374-6135.

Mary E Ticknor is licensed to practice in Massachusetts (license number 113177) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003857079.

Contact Information

Mary E Ticknor, LCSW, LICSW
1720 N La Salle Dr Apt 22,
Chicago, IL 60614-5845
(413) 374-6135
(888) 335-8179

Map and Direction




Healthcare Provider's Profile

Full NameMary E Ticknor
GenderFemale
SpecialityClinical Social Worker
Experience22 Years
Location1720 N La Salle Dr Apt 22, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary E Ticknor graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1003857079
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 02/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426073065
  • Enrollment ID: I20210528000406

Medical Identifiers

Medical identifiers for Mary E Ticknor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003857079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149023194 (Illinois)Secondary
1041C0700XSocial Worker - Clinical 113177 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary E Ticknor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary E Ticknor, LCSW, LICSW
1720 N La Salle Dr Apt 22,
Chicago, IL 60614-5845

Ph: (413) 374-6135
Mary E Ticknor, LCSW, LICSW
1720 N La Salle Dr Apt 22,
Chicago, IL 60614-5845

Ph: (413) 374-6135

Reviews and Comments


Social Worker in Chicago, IL

Ms. Deborah Lee Jackson, LCSW
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Phone: 773-293-8437    Fax: 773-728-4751
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Mr. John Anthony Knoerzer, LCSW
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Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601
Phone: 773-301-8576    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.