Active NPI
Ruth Mellenthin, LCSW
- Clinical Social Worker
- Mount Prospect, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-018650
- Practice address
- 1803 W Willow LN
Mt Prospect, IL 60056-4412 - Phone
- (312) 810-2601
- NPI assigned
- May 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-018650 | IL | Primary |
| Social Worker | 104100000X | 150-013328 | IL |
Addresses
Primary practice location
1803 W Willow LN
Mt Prospect, IL 60056-4412
Mailing address
1803 W Willow LN
Mt Prospect, IL 60056-4412
Phone (312) 810-2601
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2500 W Higgins Rd
Suite 105
Hoffman Estates, IL 60169-2040
Phone (888) 870-1775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150-013328 | IL | MD | Social Worker |
| 149-018650 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodasi LLC | Clinical | Current | Accepting new patients |
Locations
3166 N Lincoln Ave
Ste 401
Chicago, IL 60657
Phone (630) 473-3091
2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094
684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815
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": "1432944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1104206655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 W WILLOW LN",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600564412",
"telephone_number": "312-810-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 W WILLOW LN",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600564412",
"telephone_number": "312-810-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLENTHIN",
"first_name": "RUTH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-30",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-018650",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150-013328",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.