Individual provider Active NPI

Zareena Kheshgi, PHD LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1447302427
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149001595 Issued in IL
Practice address
3166 N Lincoln Ave Ste 401
Chicago, IL 60657-3181
Phone
(888) 870-1775
NPI assigned
Jan 18, 2007
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 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 149001595 IL Primary

Addresses

Primary practice location

3166 N Lincoln Ave Ste 401
Chicago, IL 60657-3181

Mailing address

4809 N Wolcott Avenue
Unit #1 a
Chicago, IL 60640-4041
Phone (778) 474-0227

Other practice location 1

4809 N Wolcott Avenue
Unit #1 A
Chicago, IL 60640-4041
Phone (778) 474-0227

Other identifiers 2

IdentifierTypeStateIssuer
077258000OtherMAGELLAN HEALTH
01632262OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Zareena Kheshgi Professional name

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
I20191210002575 IL Practitioner - Clinical Social Worker 1052744794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Rodasi LLCGroup PAC ID 0749418630, 34 clinicians

Practice addresses (Care Compare)

3166 N Lincoln Ave
Suite 401
Chicago, IL 60657-3181
Phone (888) 870-1775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Rodasi LLC Clinical CurrentSince Oct 14, 2019 Accepting new patients

Locations

3166 N Lincoln Ave
Ste 401
Chicago, IL 60657
Phone (630) 473-3091

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 312-9385

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

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, 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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1447302427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 N WOLCOTT AVENUE",
            "address_2": "UNIT #1 A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404041",
            "telephone_number": "778-474-0227",
            "fax_number": "773-293-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573181",
            "telephone_number": "888-870-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 N Wolcott Avenue",
            "address_2": "Unit #1 A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606404041",
            "country_code": "US",
            "telephone_number": "778-474-0227",
            "fax_number": "773-293-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHESHGI",
        "first_name": "ZAREENA",
        "name_prefix": "Dr.",
        "credential": "PHD LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH",
            "identifier": "077258000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01632262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAREENA",
            "last_name": "KHESHGI",
            "prefix": "DR.",
            "credential": "PHD LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.