Active NPI
Rebecca Weitz-Rice, LCSW
- Clinical Social Worker
- Northbrook, IL
National Provider Identifier
1295855971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-012910
- 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149-012910 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Oaks Behavioral Health LLC | Current | Accepting new patients |
Locations
1800 Hollister Dr
Ste 201
Libertyville, IL 60048
Phone (847) 549-0944
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-012910 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.