Malory Goldin Ceaser, LCSW
Social Worker, Clinical in Northbrook, IL. Individual provider (NPI-1).
NPI number1366176646
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1366176646
- Entity type
- Individual (NPI-1)
- Name
- Malory Goldin Ceaser
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2022
- Certification date
- Feb 26, 2026
- Last updated
- Feb 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.022951 | IL | Yes |
| 1041C0700X | Social Worker, Clinical | 200003150 | DC | |
| 1041C0700X | Social Worker, Clinical | 09929082 | CO | |
| 1041C0700X | Social Worker, Clinical | 0904015259 | VA | |
| 1041C0700X | Social Worker, Clinical | 34929 | MN |
Practice location
60 Revere Dr Ste 100Northbrook, IL 60062-1590
Phone 224-306-1879 · Fax 224-306-1878
Mailing address
60 Revere Dr Ste 100Northbrook, IL 60062-1590
Phone 224-306-1879 · Fax 224-306-1878
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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