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

Individual provider Mental Health Counselor · NPI 1598288870

Edwin Joseph Thullen, LCSW is a Clinical Social Worker in New Lenox, Illinois. Qualified in 2011, 15 years ago. Practices with Copper Country Community Mental Health Services, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1938 E Lincoln Hwy Unit 219
New Lenox, IL 60451-3860
Phone: (815) 320-3749
Fax: (815) 320-3825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 149.018135 (IL)

Record details

NPI number1598288870
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESJuly 19, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Copper Country Community Mental Health Services — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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