Individual provider Active NPI

Rosemarie Gianforte

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1326287541
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009423 Issued in IL
Practice address
5756 N Ridge Ave
Unit 2
Chicago, IL 60660-5302
Phone
(773) 517-1661
Fax
(312) 814-7134
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009423 IL Primary

Addresses

Primary practice location

5756 N Ridge Ave
Unit 2
Chicago, IL 60660-5302

Mailing address

6101 N Sheridan Rd
Unit 38C
Chicago, IL 60660-2870
Phone (773) 517-1661

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
I20210519002130 IL Practitioner - Clinical Social Worker 4385043660 Practice locations: Evanston, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

708 Church St
Suite 217
Evanston, IL 60201-3881
Phone (773) 517-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1326287541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N SHERIDAN RD",
            "address_2": "UNIT 38C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602870",
            "telephone_number": "773-517-1661",
            "fax_number": "312-814-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE",
            "address_2": "UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605302",
            "telephone_number": "773-517-1661",
            "fax_number": "312-814-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFORTE",
        "first_name": "ROSEMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.