Individual provider Active NPI

Sandra J. Oyler, LCSW

  • Clinical Social Worker
  • Warrenville, IL
National Provider Identifier
1366693525
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-009777 Issued in IL
Practice address
28W542 Batavia Rd
Warrenville, IL 60555-3009
Phone
(630) 393-7057
Fax
(630) 393-7029
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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 149-009777 IL Primary

Addresses

Primary practice location

28W542 Batavia Rd
Warrenville, IL 60555-3009

Mailing address

373 S Schmale Rd Ste 102
Carol Stream, IL 60188-2771
Phone (630) 682-1910

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
I20180313000754 IL Practitioner - Clinical Social Worker 1951663889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outreach Community Ministries IncGroup PAC ID 6103188016, 4 clinicians

Practice addresses (Care Compare)

28 W542 Batavia Rd
Warrenville, IL 60555-3009
Phone (630) 393-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-009777ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Community Ministries Inc Clinical CurrentSince Feb 1, 2018 Accepting new patients
Outreach Wheaton Clinical Past Accepting new patients
Outreach Warrenville Clinical PastSince Feb 1, 2018 Accepting new patients

Locations

373 S Schmale Rd
Ste 102
Carol Stream, IL 60188

28W542 Batavia Rd
Warrenville, IL 60555
Phone (630) 393-7057

122 W Liberty Dr
Wheaton, IL 60187
Phone (630) 682-1910

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1366693525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S SCHMALE RD STE 102",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882771",
            "telephone_number": "630-682-1910",
            "fax_number": "630-682-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28W542 BATAVIA RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553009",
            "telephone_number": "630-393-7057",
            "fax_number": "630-393-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYLER",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-009777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.