Active NPI
Anna Rybak, LCSW
- Clinical Social Worker
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.024042
- 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
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 | 149.024042 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Clinical | Current | Accepting new patients |
| Midwest Post Acute Care PLLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.