Individual provider Active NPI

Debra Gilbert Rosenberg, AM LCSW

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1023199239
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005545 Issued in IL
Practice address
1550 Spring Rd
Suite 215
Oak Brook, IL 60523-1320
Phone
(708) 704-1208
Fax
(708) 386-2641
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149005545 IL Primary

Addresses

Primary practice location

1550 Spring Rd
Suite 215
Oak Brook, IL 60523-1320

Mailing address

1550 Spring Rd
Suite 215
Oak Brook, IL 60523-1320
Phone (708) 704-1208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149005545ILMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1023199239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SPRING RD",
            "address_2": "SUITE 215",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231320",
            "telephone_number": "708-704-1208",
            "fax_number": "708-386-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SPRING RD",
            "address_2": "SUITE 215",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231320",
            "telephone_number": "708-704-1208",
            "fax_number": "708-386-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DEBRA",
        "middle_name": "GILBERT",
        "name_prefix": "Ms.",
        "credential": "AM LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.