Vivianne Swerdlow

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

770 Lake Cook Rd Ste 200
Deerfield, IL 60015-4920

Phone

(847) 607-9662

NPI assigned

Apr 13, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360 Degrees Wellness and Coaching LLCGroup PAC ID 8426288978, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• 360 Degrees Wellness & Coaching LLC

  • Clinical Social Worker
  • Lake Forest, IL
  • NPI 1497176523
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1144916032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S CAMPUS",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452351",
            "telephone_number": "207-232-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 200",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-607-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWERDLOW",
        "first_name": "VIVIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svit Lana Sukach
• Erin Sullivan, RBT
• Sunila M. Rao, Psy.D., LLC
• Christopher L Surek, D.O.
• Jeremiah Sweeting
• Krystian Szczepaniak
• Stephen Szewczyk, R.PH.
• Ayman Tabani, OD
• Farrah Senerpida Tan, PT
• Rose Tang, PHARMD

• Clinical Social Worker in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.

Verify at the official NPI Registry.