Alan Trachtenberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.017036 Issued in IL

Practice address

223 W Jackson Blvd Ste 360
Chicago, IL 60606-6915

Phone

(888) 588-8995

NPI assigned

Aug 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Service Center of Wilmette Glenview Northbrook Kenilworth

  • Marriage & Family Therapist
  • Northfield, IL
  • NPI 1750396289

  Clinical

  NPD

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1285982330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD STE 360",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066915",
            "telephone_number": "888-588-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD STE 360",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066915",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTENBERG",
        "first_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tpipt PLLC
• TPN LTD
• Mariola Traba, APN
• Marcelo Yap Trabado, M.D.
• Skye Tracey
• Jaime F Trachtenbert, PT, DPT
• Traci D Coney, LLC
• Traci Patterson LCPC Cadc PLLC
• Tracy Heskett Therapy
• Tracy Mayes Psychotherapy PC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.

Verify at the official NPI Registry.