Active NPI
Elizabeth Vogt, LCSW, CADC
- Clinical Social Worker
- Antioch, IL
National Provider Identifier
1134587744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.022522
- Practice address
- 41819 N Circle Dr
Antioch, IL 60002-7307 - Phone
- (847) 313-1435
- NPI assigned
- Feb 10, 2016
- 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 | 9494123 | WI | |
| Clinical Social Worker | 1041C0700X | 149.022522 | IL | Primary |
Addresses
Primary practice location
41819 N Circle Dr
Antioch, IL 60002-7307
Mailing address
41819 N Circle Dr
Antioch, IL 60002-7307
Phone (847) 313-1435
Other practice location 1
197 W Chestnut St
Burlington, WI 53105-1200
Phone (262) 763-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
41819 N Circle Dr
Antioch, IL 60002-7307
Phone (847) 313-1435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9494123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Psychology Associates, LLC | Current | Accepting new patients | |
| Ev Psychotherapy PLLC | Current | Accepting new patients | |
| Odyssey Healthcare Operating B, LP | Past | Accepting new patients |
Locations
935 Skidmore Dr
Antioch, IL 60002
Phone (847) 313-1435
197 W Chestnut St
Ste 100
Burlington, WI 53105
Phone (262) 763-9191
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Antioch, IL
- NPI 1639835036
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Burlington, WI
- NPI 1619156502
-
- Community Based Hospice Care Agency
- Coeur D Alene, ID
- NPI 1225487648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1134587744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41819 N CIRCLE DR",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600027307",
"telephone_number": "847-313-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41819 N CIRCLE DR",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600027307",
"telephone_number": "847-313-1435"
}
],
"practiceLocations": [
{
"address_1": "197 W Chestnut St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "WI",
"postal_code": "531051200",
"country_code": "US",
"telephone_number": "262-763-9191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOGT",
"first_name": "ELIZABETH",
"credential": "LCSW, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9494123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.022522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.