Active NPI
Brian Leo Rzepczynski, MSW, LCSW
- Clinical Social Worker
- Aurora, IL
National Provider Identifier
1164439485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-006219
- Practice address
- 4255 Westbrook Dr
Ste. 225
Aurora, IL 60504-8125 - Phone
- (630) 375-7416
- Fax
- (630) 499-1082
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-006219 | IL | Primary |
Addresses
Primary practice location
4255 Westbrook Dr
Ste. 225
Aurora, IL 60504-8125
Mailing address
4255 Westbrook Dr
Ste. 225
Aurora, IL 60504-8125
Phone (630) 375-7416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320030101 | Other | IL | TAX IDENTIFICATION NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149-006219 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1164439485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 WESTBROOK DR",
"address_2": "STE. 225",
"city": "AURORA",
"state": "IL",
"postal_code": "605048125",
"telephone_number": "630-375-7416",
"fax_number": "630-499-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 WESTBROOK DR",
"address_2": "STE. 225",
"city": "AURORA",
"state": "IL",
"postal_code": "605048125",
"telephone_number": "630-375-7416",
"fax_number": "630-499-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RZEPCZYNSKI",
"first_name": "BRIAN",
"middle_name": "LEO",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-006219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "320030101",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.