IndividualActive
Mary Ticknor, LCSW, LICSW
NPI 1003857079 · Clinical Social Worker · Chicago, IL
Provider details
- NPI number
- 1003857079
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149023194 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1720 N La Salle Dr Apt 22
Chicago, IL 60614-5845
Phone: (413) 374-6135
Fax: (888) 335-8179
Street-level locationGet directions
Mailing address
1720 N La Salle Dr Apt 22
Chicago, IL 60614-5845
Additional practice locations (1)
- 1440 Renaissance Dr Ste 320Park Ridge, IL 60068-1471Phone: (847) 759-9100Fax: (224) 985-2119
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.