Individual provider Active NPI

Elizabeth Paige Rhyne, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1255883617
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020568 Issued in IL
Practice address
1643 N Alpine Rd Unit 104-108
Rockford, IL 61107-1462
Phone
(618) 303-2666
Fax
(779) 666-8044
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.102104 IL
Clinical Social Worker 1041C0700X 149.020568 IL Primary

Addresses

Primary practice location

1643 N Alpine Rd Unit 104-108
Rockford, IL 61107-1462

Mailing address

3371 Carbineer Dr
Belvidere, IL 61008-9731
Phone (618) 303-2666

Other names 1

  • Elizabeth Rhyne Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.102104ILMDSocial Worker
149.020568ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lamp Light Counseling Clinical Current Accepting new patients
1St Step Chiropractic SC PastSince Mar 1, 2011 Accepting new patients

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1255883617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 CARBINEER DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089731",
            "telephone_number": "618-303-2666",
            "fax_number": "779-666-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 N ALPINE RD UNIT 104-108",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071462",
            "telephone_number": "618-303-2666",
            "fax_number": "779-666-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHYNE",
        "first_name": "ELIZABETH",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RHYNE",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.