Individual provider Active NPI

Aleksandra Wojtowicz

  • Clinical Social Worker
  • Mount Prospect, IL
National Provider Identifier
1225595994
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023324 Issued in IL
Practice address
1585 Dempster St
Mount Prospect, IL 60056-4978
Phone
(847) 621-2040
NPI assigned
Feb 28, 2019
Last updated
Jul 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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 149.023324 IL Primary

Addresses

Primary practice location

1585 Dempster St
Mount Prospect, IL 60056-4978

Mailing address

295 Glendale LN
Hoffman Estates, IL 60169-3205
Phone (773) 932-8956

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
I20210610001966 IL Practitioner - Clinical Social Worker 6103226279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.023324ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Young Center CurrentSince May 20, 2021 Accepting new patients

Locations

1001 Rohlwing Rd
Elk Grove Vlg, IL 60007

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1225595994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 GLENDALE LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693205",
            "telephone_number": "773-932-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 DEMPSTER ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564978",
            "telephone_number": "847-621-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTOWICZ",
        "first_name": "ALEKSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.