Individual provider Active NPI

Eric Russell Onsgard, MSW, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1043566094
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015319 Issued in IL
Practice address
2704 N Main St
Rockford, IL 61103-3112
Phone
(855) 751-4348
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 149.015319 IL Primary

Addresses

Primary practice location

2704 N Main St
Rockford, IL 61103-3112

Mailing address

528 King St
Belvidere, IL 61008-3015
Phone (815) 904-9202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000715 IL Practitioner - Clinical Social Worker 6103069067 Reassigns benefits to 2 organizations
Practice locations: Loves Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

309 McHenry Ave
Woodstock, IL 60098-2917
Phone (815) 338-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
149.015319ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance, Inc. CurrentSince Mar 10, 2020 Accepting new patients
Rosecrance Inc Current Accepting new patients
Rosecrance Inc CurrentSince Mar 10, 2020 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Dec 1, 2020 Accepting new patients
Riverview Counseling Services, LTD. Clinical PastSince May 23, 2017 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

2704 N Main St
Rockford, IL 61103
Phone (815) 720-5012

309 McHenry Ave
Woodstock, IL 60098
Phone (212) 595-0005

Organizations & group practices 5

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1043566094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 KING ST",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083015",
            "telephone_number": "815-904-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033112",
            "telephone_number": "855-751-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONSGARD",
        "first_name": "ERIC",
        "middle_name": "RUSSELL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.