Individual provider Active NPI

Ewa Nevler, LCSW

  • Clinical Social Worker
  • Wilmette, IL
National Provider Identifier
1396858676
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011756 Issued in IL
Practice address
3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058
Phone
(847) 251-7350
Fax
(847) 853-2600
NPI assigned
Aug 17, 2006
Last updated
Jul 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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 149011756 IL Primary

Addresses

Primary practice location

3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058

Mailing address

1402 Orange CT
Apt #C
Mount Prospect, IL 60056-6312
Phone (847) 342-1929

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
I20080709000295 IL Practitioner - Clinical Social Worker 6204908221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Child and Family ServicesGroup PAC ID 8628108933, 17 clinicians

Practice addresses (Care Compare)

255 Revere Dr
Northbrook, IL 60062-1564
Phone (847) 412-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Child and Family Services CurrentSince Sep 22, 2010 Accepting new patients
Village of Niles Past Accepting new patients
Village of Niles Clinical PastSince Jan 1, 2008 Accepting new patients

Locations

230 W Monroe St
Ste 1100
Chicago, IL 60606
Phone (312) 357-4800

255 Revere Dr
Northbrook, IL 60062
Phone (847) 412-4350

255 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (847) 412-4350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1396858676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 ORANGE CT",
            "address_2": "APT #C",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566312",
            "telephone_number": "847-342-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE",
            "address_2": "SUITE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-251-7350",
            "fax_number": "847-853-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVLER",
        "first_name": "EWA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.