Individual provider Active NPI

Rosemary Spizzirri II, LCSW

  • Clinical Social Worker
  • Elmhurst, IL
National Provider Identifier
1164812244
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.009677 Issued in IL
Practice address
116 S York St
Elmhurst, IL 60126-3432
Phone
(708) 351-8831
NPI assigned
Jan 28, 2015
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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 149.009677 IL Primary

Addresses

Primary practice location

116 S York St
Elmhurst, IL 60126-3432

Mailing address

1408 Harvey Ave
Berwyn, IL 60402-1106
Phone (708) 351-8831

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602003998 IL Practitioner - Clinical Social Worker 7810468626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

116 S York St
Suite 201
Elmhurst, IL 60126-3432

1408 Harvey Ave
Berwyn, IL 60402-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.009677ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connections Behavioral Health PC Clinical Current Accepting new patients

Locations

116 S York St
Ste 201
Elmhurst, IL 60126
Phone (630) 363-8311

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, 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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1164812244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 HARVEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021106",
            "telephone_number": "708-351-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263432",
            "telephone_number": "708-351-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIZZIRRI",
        "first_name": "ROSEMARY",
        "name_prefix": "Ms.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.