Active NPI
Patricia S Astrene, LCSW CADC
- Clinical Social Worker
- Northbrook, IL
National Provider Identifier
1447340658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149004345
- Practice address
- 1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500 - Phone
- (847) 502-8465
- NPI assigned
- Oct 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149004345 | IL | Primary |
Addresses
Primary practice location
1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500
Mailing address
1200 Shermer Rd
Suite 208
Northbrook, IL 60062-4500
Phone (847) 502-8465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 2, 2025 through Apr 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149004345 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1447340658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SHERMER RD",
"address_2": "SUITE 208",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624500",
"telephone_number": "847-502-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SHERMER RD",
"address_2": "SUITE 208",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624500",
"telephone_number": "847-502-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTRENE",
"first_name": "PATRICIA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LCSW CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149004345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.