Active NPI
Elizabeth Macias, MSW
- Community/Behavioral Health Agency
- Berwyn, IL
National Provider Identifier
1366965949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 3601 S Harlem Ave
Berwyn, IL 60402-3219 - Phone
- (708) 749-4160
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | IL | Primary |
Addresses
Primary practice location
3601 S Harlem Ave
Berwyn, IL 60402-3219
Mailing address
3450 Oakton St
Skokie, IL 60076-2951
Phone (833) 848-2347
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 S Harlem Ave
Berwyn, IL 60402-3219
Phone (708) 749-4160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Clinical | Current | Accepting new patients |
Locations
3601 S Harlem Ave
Berwyn, IL 60402
Phone (708) 484-1486
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
3450 Oakton St
Skokie, IL 60076
3450 Oakton St
Ste 300
Skokie, IL 60076
Organizations & group practices 1
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": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1366965949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 OAKTON ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762951",
"telephone_number": "833-848-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S HARLEM AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023219",
"telephone_number": "708-749-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAS",
"first_name": "ELIZABETH",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": null,
"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 May 16, 2023; 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.