Individual provider Active NPI

Renee D Rodgers, LSCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1427140045
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026096 Issued in IL
Practice address
122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173
Phone
(785) 840-7088
NPI assigned
Sep 29, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2319 KS
Clinical Social Worker 1041C0700X 149.026096 IL Primary

Addresses

Primary practice location

122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173

Mailing address

122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173
Phone (785) 840-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061107000465 KS Practitioner - Clinical Social Worker 4981601861 Reassigns benefits to 1 organization
I20240529002463 IL Practitioner - Clinical Social Worker 4981601861 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026096ILMDClinical Social Worker
2319KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 25, 2024 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Apr 23, 2024 Accepting new patients
Heritage Mental Health Clinic, LLC Clinical PastSince Jun 28, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

Organizations & group practices 4

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1427140045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036173",
            "telephone_number": "785-840-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036173",
            "telephone_number": "785-840-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "RENEE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.