Active NPI
Caroline A. Reitenbach, M.S.W.
- Clinical Social Worker
- Arlington Heights, IL
National Provider Identifier
1497735922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2025 S Arlington Heights Rd
Suite 112
Arlington Heights, IL 60005-4152 - Phone
- (847) 545-0400
- Fax
- (847) 545-0405
- NPI assigned
- Jan 19, 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 | IL | Primary |
Addresses
Primary practice location
2025 S Arlington Heights Rd
Suite 112
Arlington Heights, IL 60005-4152
Mailing address
2025 S Arlington Heights Rd
Suite 112
Arlington Heights, IL 60005-4152
Phone (847) 545-0400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166283 | Other | IL | VALUE OPTIONS |
| 916294 | Other | IL | FIRST HEALTH |
| 1626146 | Other | IL | BC/BS OF ILLINOIS |
| 188409 | Other | IL | COMPSYCH |
| 5519120 | Other | IL | AETNA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy J. Wilder, LCSW, 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": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497735922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 S ARLINGTON HEIGHTS RD",
"address_2": "SUITE 112",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600054152",
"telephone_number": "847-545-0400",
"fax_number": "847-545-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 S ARLINGTON HEIGHTS RD",
"address_2": "SUITE 112",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600054152",
"telephone_number": "847-545-0400",
"fax_number": "847-545-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITENBACH",
"first_name": "CAROLINE",
"middle_name": "A.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "166283",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "916294",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF ILLINOIS",
"identifier": "1626146",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "188409",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5519120",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.