Individual provider Active NPI

Arita Jeannine Sego, L.C.S.W.

  • Clinical Social Worker
  • Bloomingdale, IL
National Provider Identifier
1073056479
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012077 Issued in IL
Practice address
1 Tiffany PT Ste 105
Bloomingdale, IL 60108-2915
Phone
(630) 980-1400
NPI assigned
Dec 2, 2016
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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 149012077 IL Primary

Addresses

Primary practice location

1 Tiffany PT Ste 105
Bloomingdale, IL 60108-2915

Mailing address

1 Tiffany PT Ste 105
Bloomingdale, IL 60108-2915
Phone (630) 980-1400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149012077ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Clinical Psychologists Limited PastSince Sep 1, 2007 Accepting new patients
Center for Integrative and Functional Health and Wellness LLC PastSince Nov 10, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1073056479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082915",
            "telephone_number": "630-980-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082915",
            "telephone_number": "630-980-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGO",
        "first_name": "ARITA",
        "middle_name": "JEANNINE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.