Individual provider Active NPI

William G Ressl, MDIV, MSW, PHD, LCSW

  • Clinical Social Worker
  • Brookfield, IL
National Provider Identifier
1326785973
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013587 Issued in IL
Practice address
3604 Sunnyside Ave
Brookfield, IL 60513-1630
Phone
(708) 387-7986
NPI assigned
May 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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 149.013587 IL Primary

Addresses

Primary practice location

3604 Sunnyside Ave
Brookfield, IL 60513-1630

Mailing address

3604 Sunnyside Ave
Brookfield, IL 60513-1630
Phone (708) 387-7986

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
I20220829001454 IL Practitioner - Clinical Social Worker 0143602581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Penny and Bill CompanyGroup PAC ID 4981086311, 2 clinicians

Practice addresses (Care Compare)

3604 Sunnyside Ave
Brookfield, IL 60513-1630
Phone (708) 387-7986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Penny & Bill Company Clinical CurrentSince Aug 1, 2022 Accepting new patients
Samaritan Interfaith Counseling Center Inc. CurrentSince Apr 1, 2023 Accepting new patients
Samaritan Counseling Center PastSince Apr 1, 2023 Accepting new patients

Locations

1819 Bay Scott Cir
Ste 109
Naperville, IL 60540
Phone (630) 357-2456

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1326785973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 SUNNYSIDE AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131630",
            "telephone_number": "708-387-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 SUNNYSIDE AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131630",
            "telephone_number": "708-387-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSL",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MDIV, MSW, PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

Verify at the official NPI Registry.