MEDICARE: MS. CELESTE MCGILL LCSW, CADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15149	IL
2	1041C0700X	Clinical Social Worker	149.007758	IL

General Provider Information

NPI Number	:	1033264429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CELESTE MCGILL LCSW, CADC

Provider Business Mailing Address
First Line	:	4937 S SAINT LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-3389
Country	:	US
Telephone Number	:	773-531-9571
Fax Number	:	773-901-2363

Provider Business Practice Location Address
First Line	:	4937 S SAINT LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2411
Country	:	US
Telephone Number	:	773-548-8094
Fax Number	:	773-548-8093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	10/19/2025

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