Phyillis Greenbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5301 Dempster St
Suite 205
Skokie, IL 60077-1846

Phone

(224) 558-3055

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Allone Health Well LLC

  • Mental Health Counselor
  • Wilkes Barre, PA
  • NPI 1659268043
  NPD
• Grundy Radiologists Inc

  • Diagnostic Radiology Physician
  • Morris, IL
  • NPI 1386837987
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366588162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 DEMPSTER ST",
            "address_2": "SUITE 205",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771846",
            "telephone_number": "224-558-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DEMPSTER ST",
            "address_2": "SUITE 205",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771846",
            "telephone_number": "224-558-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "PHYILLIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Chicago Urology, LLC
• Ashley Greb
• Green Acres Healthcare and Rehab Center LLC
• Green Pediatrics Behavioral Services LLC
• Jennifer S Green, LMT
• Melissa Greenfield
• Greenspan-Weisz Vision Specialists LTD
• Steven B. Greenspan, O.D., PH.D.
• John Francis Babar Gregori
• Gregory Kaczmarek, MD, LLC

• Clinical Social Worker in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.