Active NPI
Elaine Grace Brown
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1336877943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.030428
- Practice address
- 2755 N Pine Grove Ave
Chicago, IL 60614-6109 - Phone
- (312) 259-2665
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.030428 | IL | Primary |
Addresses
Primary practice location
2755 N Pine Grove Ave
Chicago, IL 60614-6109
Mailing address
2755 N Pine Grove Ave
Chicago, IL 60614-6109
Phone (312) 259-2665
Other names 1
- Ms. Elaine Rubenoff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 24, 2025 through Oct 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.030428 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1336877943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 N PINE GROVE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146109",
"telephone_number": "312-259-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 N PINE GROVE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146109",
"telephone_number": "312-259-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ELAINE",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.030428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELAINE",
"last_name": "RUBENOFF",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.