Individual provider Active NPI

Sharon Bloch, LCSW

  • Clinical Social Worker
  • Arlington Heights, IL
National Provider Identifier
1447227277
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007382 Issued in IL
Practice address
3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004-1591
Phone
(847) 577-1501
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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 149007382 IL Primary

Addresses

Primary practice location

3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004-1591

Mailing address

3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004-1591
Phone (847) 577-1501

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
I20160916001591 IL Practitioner - Clinical Social Worker 2769401751 Practice locations: Lincolnshire, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Olde Half Day Rd
Suite 100 5
Lincolnshire, IL 60069-3073
Phone (847) 450-6526

31 Montebello Dr
Vernon Hills, IL 60061-2317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1447227277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 N ARLINGTON HEIGHTS RD",
            "address_2": "STE E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041591",
            "telephone_number": "847-577-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 N ARLINGTON HEIGHTS RD",
            "address_2": "STE E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041591",
            "telephone_number": "847-577-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "SHARON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.