Individual provider Active NPI

Anna Rybak, LCSW

  • Clinical Social Worker
  • Oak Lawn, IL
National Provider Identifier
1245999747
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024042 Issued in IL
Practice address
8820 Mobile Ave Apt 3E
Oak Lawn, IL 60453-1182
Phone
(708) 439-3653
NPI assigned
Dec 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 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 149.024042 IL Primary

Addresses

Primary practice location

8820 Mobile Ave Apt 3E
Oak Lawn, IL 60453-1182

Mailing address

8820 Mobile Ave Apt 3E
Oak Lawn, IL 60453-1182
Phone (708) 439-3653

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
I20220202002858 IL Practitioner - Clinical Social Worker 7315330909 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Nov 1, 2023 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Dec 22, 2021 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200

12550 S Ridgeland Ave
Palos Heights, IL 60463
Phone (708) 597-9300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1245999747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 MOBILE AVE APT 3E",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531182",
            "telephone_number": "708-439-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 MOBILE AVE APT 3E",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531182",
            "telephone_number": "708-439-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBAK",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.