Active NPI
John B Corso, LCSW
- Clinical Social Worker
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-012248
- Practice address
- 6201 W Cermak Rd
2ND Floor/ Lombard Entrance
Berwyn, IL 60402-2331 - Phone
- (708) 788-8808
- Fax
- (708) 788-8549
- NPI assigned
- Jan 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 149-012248 | IL | Primary |
Addresses
Primary practice location
6201 W Cermak Rd
2ND Floor/ Lombard Entrance
Berwyn, IL 60402-2331
Mailing address
1515 Pheasant Trail LN
Apt 6
Arlington Heights, IL 60004
Phone (847) 903-2369
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3100 Dundee Rd
Suite 902
Northbrook, IL 60062-2441
Phone (847) 443-1010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-012248 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Clinical | Current | Accepting new patients |
| Silver Lining Care LLC | Current | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
1020 Milwaukee Ave
Ste 229
Deerfield, IL 60015
Phone (847) 767-0552
3100 Dundee Rd
Ste 902
Northbrook, IL 60062
Phone (847) 443-1010
3450 Oakton St
Ste 300
Skokie, IL 60076
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Deerfield, IL
- NPI 1962119891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1356730576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PHEASANT TRAIL LN",
"address_2": "APT 6",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-903-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 W CERMAK RD",
"address_2": "2ND FLOOR/ LOMBARD ENTRANCE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022331",
"telephone_number": "708-788-8808",
"fax_number": "708-788-8549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSO",
"first_name": "JOHN",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-012248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.