Eloisa Rosales, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013377 Issued in IL

Practice address

5635 State Rd
Burbank, IL 60459-2051

Phone

(708) 237-8918

Fax

(708) 237-8997

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Clinical Services PCGroup PAC ID 0042374720, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eloisa.rosales.1@9265.direct.athenahealth.com

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.

• Comprehensive Clinical Services PC

  • Psychiatry Physician
  • Lombard, IL
  • NPI 1942484522
  Medicare reassignment Care Compare group
• Stickney Public Health District

  • State or Local Public Health Clinic/Center
  • Burbank, IL
  • NPI 1578765426
  Medicare reassignment NPD

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1326222647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 STATE RD",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592051",
            "telephone_number": "708-237-8918",
            "fax_number": "708-237-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 STATE RD",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592051",
            "telephone_number": "708-237-8918",
            "fax_number": "708-237-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Lake St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011047",
            "country_code": "US",
            "telephone_number": "708-613-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "ELOISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Sarah Rios
• Frances Sylvia Roberto, MHS OTRL
• Fernando Rodriguez, PTA
• Gloria Viviana Rodriguez
• Judy Rokaitis, OTRL
• Oscar Ruiz, M.D.
• Jonathan Ruof
• Marta Sadelski, SLP
• Safe Medical Transport Corp
• Ibrahim Sakiri, DMD

• Clinical Social Worker in Burbank, IL
• Providers in Burbank, 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 Oct 21, 2020; 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.

Verify at the official NPI Registry.