Organization Active NPI

Stephen J. Rosenbaum MSW LCSW PC

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1205247806
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-000569 Issued in IL
Legal business name
STEPHEN J. ROSENBAUM MSW LCSW PC
Practice address
1803 Saint Johns Ave
Highland Park, IL 60035-3298
Phone
(847) 432-2355
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Mr. Stephen J Rosenbaum, MSW
Title
President
Phone
(847) 432-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149-000569 IL Primary

Addresses

Primary practice location

1803 Saint Johns Ave
Highland Park, IL 60035-3298

Mailing address

1803 Saint Johns Ave
Highland Park, IL 60035-3298
Phone (847) 432-2355

National Provider Directory

National Provider Directory

Locations

1803 Saint Johns Ave
Highland Park, IL 60035
Phone (847) 432-2355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1205247806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353298",
            "telephone_number": "847-432-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353298",
            "telephone_number": "847-432-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. ROSENBAUM MSW LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-432-2355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-000569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.