Individual provider Active NPI

Yitzchok Aryeh Freid, LCSW, CASAC-T

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1336701945
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022916 Issued in IL
Practice address
5550 Touhy Ave Ste 404
Skokie, IL 60077-3253
Phone
(847) 329-9210
Fax
(773) 347-2656
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 149.022916 IL Primary

Addresses

Primary practice location

5550 Touhy Ave Ste 404
Skokie, IL 60077-3253

Mailing address

5550 Touhy Ave Ste 404
Skokie, IL 60077-3253
Phone (847) 329-9210

Other practice location 1

800 Austin St Ste 312
Evanston, IL 60202-3439
Phone (847) 329-9210

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
I20210205000417 IL Practitioner - Clinical Social Worker 5092129809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Refuah Health CenterGroup PAC ID 5193103653, 12 clinicians

Practice addresses (Care Compare)

6374 N Lincoln Ave
Chicago, IL 60659-1275
Phone (872) 270-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022916ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Refuah Health Center CurrentSince Apr 17, 2023 Accepting new patients
Midwest Refuah Health Center CurrentSince Apr 17, 2023 Accepting new patients
Illinois Behavioral Health Group, P.C. CurrentSince Feb 26, 2023 Accepting new patients
Midwest Refuah Health Center Clinical Past Accepting new patients

Locations

6374 N Lincoln Ave
Chicago, IL 60659
Phone (872) 208-3095

6557 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 337-6994

5550 Touhy Ave
Ste 404
Skokie, IL 60077
Phone (773) 466-0847

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEHCD

Organizations & group practices 4

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1336701945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 TOUHY AVE STE 404",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773253",
            "telephone_number": "847-329-9210",
            "fax_number": "773-347-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TOUHY AVE STE 404",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773253",
            "telephone_number": "847-329-9210",
            "fax_number": "773-347-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Austin St Ste 312",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023439",
            "country_code": "US",
            "telephone_number": "847-329-9210",
            "fax_number": "773-347-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREID",
        "first_name": "YITZCHOK",
        "middle_name": "ARYEH",
        "credential": "LCSW, CASAC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.