Individual provider Active NPI

Rori M Ramirez

  • Clinical Social Worker
  • Hainesville, IL
National Provider Identifier
1295292159
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024533 Issued in IL
Practice address
4 N Deer Point Rd
Hainesville, IL 60030-3814
Phone
(847) 543-0045
NPI assigned
Feb 27, 2019
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.024533 IL
Clinical Social Worker 1041C0700X 149024533 IL Primary

Addresses

Primary practice location

4 N Deer Point Rd
Hainesville, IL 60030-3814

Mailing address

4 N Deer Point Rd
Hainesville, IL 60030-3814
Phone (847) 543-0045

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
I20231020001803 IL Practitioner - Clinical Social Worker 9931555331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Eaves Health Partners PLLCGroup PAC ID 2466844220, 19 clinicians

Practice addresses (Care Compare)

5151 Church St
Skokie, IL 60077-1123
Phone (773) 436-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.024533ILMDClinical Social Worker
149024533ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eaves Health Partners PLLC Clinical CurrentSince Oct 9, 2023 Accepting new patients

Locations

5151 Church St
Skokie, IL 60077
Phone (773) 436-6600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1295292159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N DEER POINT RD",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600303814",
            "telephone_number": "847-543-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N DEER POINT RD",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600303814",
            "telephone_number": "847-543-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "RORI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024533",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesville, IL

Sources for this page

Verify at the official NPI Registry.