Individual provider Active NPI

Rebecca Weitz-Rice, LCSW

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1295855971
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-012910 Issued in IL
Practice address
3641 Bernay Dr
Northbrook, IL 60062-2220
Phone
(847) 420-0734
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Oaks Behavioral Health LLC 14 clinicians

Practice addresses (Care Compare)

1800 Hollister Dr
Suite 201
Libertyville, IL 60048-5266
Phone (847) 549-1189

3641 Bernay Dr
Northbrook, IL 60062-2220
Phone (847) 420-0734

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
I20080611000748 IL Practitioner - Clinical Social Worker 4183701782 Reassigns benefits to 1 organization
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-012910ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Oaks Behavioral Health LLC CurrentSince Sep 17, 2018 Accepting new patients

Locations

1800 Hollister Dr
Ste 201
Libertyville, IL 60048
Phone (847) 549-0944

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-012910 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

3641 Bernay Dr
Northbrook, IL 60062-2220

Mailing address

3641 Bernay Dr
Northbrook, IL 60062-2220
Phone (847) 420-0734

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2010.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1295855971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 BERNAY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622220",
            "telephone_number": "847-420-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 BERNAY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622220",
            "telephone_number": "847-420-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZ-RICE",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-012910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.