Individual provider Active NPI

Aaron S Vanman, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1487959359
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009264 Issued in IL
Practice address
709 Larkfield Cir
Rockford, IL 61107-3553
Phone
(815) 988-3103
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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 149009264 IL Primary

Addresses

Primary practice location

709 Larkfield Cir
Rockford, IL 61107-3553

Mailing address

709 Larkfield Cir
Rockford, IL 61107-3553
Phone (815) 988-3103

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
I20111205000643 IL Practitioner - Clinical Social Worker 6800061730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

1051 Perimeter Dr
Suite 700
Schaumburg, IL 60173-5855
Phone (800) 693-1916

1560 Wall St
Suite 204
Naperville, IL 60563-1146
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Mar 18, 2022 Accepting new patients
Northern Illinois Medical Group S. C. Past Accepting new patients
Back in Action Holistic Health Center Past Accepting new patients

Locations

1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749

1639 N Alpine Rd
Ste 404
Rockford, IL 61107

Organizations & group practices 3

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1487959359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 LARKFIELD CIR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073553",
            "telephone_number": "815-988-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 LARKFIELD CIR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073553",
            "telephone_number": "815-988-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMAN",
        "first_name": "AARON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.