Individual provider Active NPI

Cori Moschberger, LCSW

  • Clinical Social Worker
  • Lake Zurich, IL
National Provider Identifier
1285046326
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014411 Issued in IL
Practice address
290 N Rand Rd
Suite D
Lake Zurich, IL 60047-2213
Phone
(888) 261-2178
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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 149.014411 IL Primary

Addresses

Primary practice location

290 N Rand Rd
Suite D
Lake Zurich, IL 60047-2213

Mailing address

2903 South CT
Rolling Meadows, IL 60008-1756
Phone (847) 489-1734

Other identifiers 1

IdentifierTypeStateIssuer
149.014411OtherILDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140709000357 IL Practitioner - Clinical Social Worker 7719102672 Reassigns benefits to 1 organization
I20250516000783 TN Practitioner - Clinical Social Worker 7719102672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barrington Behavioral Health and Wellness PCGroup PAC ID 6608099163, 11 clinicians

Practice addresses (Care Compare)

Bristol, TN 37620
Phone (888) 261-2178

1242 W Northwest Hwy
Suite 6
Palatine, IL 60067-1897
Phone (888) 261-2178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014411ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Behavioral Health & Wellness PC CurrentSince Jul 1, 2014 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

290 N Rand Rd
Ste D
Lake Zurich, IL 60047
Phone (888) 261-2178

290 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-2454

1242 W Northwest Hwy
Ste 6
Palatine, IL 60067

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1285046326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 SOUTH CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081756",
            "telephone_number": "847-489-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N RAND RD",
            "address_2": "SUITE D",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472213",
            "telephone_number": "888-261-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCHBERGER",
        "first_name": "CORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "149.014411",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.