Individual provider Active NPI

Joel K. Brotman, LCSW

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1043372584
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009425 Issued in IL
Practice address
735 Saint Johns Ave
Suite # 400
Highland Park, IL 60035-4649
Phone
(847) 266-5660
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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 149009425 IL Primary

Addresses

Primary practice location

735 Saint Johns Ave
Suite # 400
Highland Park, IL 60035-4649

Mailing address

271 Woodland Rd
Highland Park, IL 60035-5004
Phone (847) 432-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joel Brotman LCSW Clinical CurrentSince Dec 21, 2021 Accepting new patients

Locations

735 Saint Johns Ave
Ste 400
Highland Park, IL 60035
Phone (847) 266-5660

735 Saint Johns Ave
Highland Park, IL 60035
Phone (847) 224-1339

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1043372584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WOODLAND RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355004",
            "telephone_number": "847-432-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SAINT JOHNS AVE",
            "address_2": "SUITE # 400",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354649",
            "telephone_number": "847-266-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTMAN",
        "first_name": "JOEL",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.