Active NPI
Steven L Ruohomaki, L.C.S.W.
- Clinical Social Worker
- Round Lake Beach, IL
National Provider Identifier
1447412838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-003711
- Practice address
- 1584 W Crystal Rock CT
Unit 2-C
Round Lake Beach, IL 60073-4642 - Phone
- (847) 370-9106
- NPI assigned
- Jun 27, 2008
- Sex
- Male
- 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 | 149-003711 | IL | Primary |
Addresses
Primary practice location
1584 W Crystal Rock CT
Unit 2-C
Round Lake Beach, IL 60073-4642
Mailing address
1584 W Crystal Rock CT
Unit 2-C
Round Lake Beach, IL 60073-4642
Phone (847) 370-9106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-003711 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Center for Mental Health Inc | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1447412838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1584 W CRYSTAL ROCK CT",
"address_2": "UNIT 2-C",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600734642",
"telephone_number": "847-370-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 W CRYSTAL ROCK CT",
"address_2": "UNIT 2-C",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600734642",
"telephone_number": "847-370-9106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUOHOMAKI",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-003711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Lake Beach, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.