Individual provider Active NPI

Elizabeth D Weingart, LSCSW, LCSW

  • Clinical Social Worker
  • Savoy, IL
National Provider Identifier
1508806936
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013998 Issued in IL
Practice address
6 Dunlap CT
Savoy, IL 61874-9501
Phone
(217) 520-7515
NPI assigned
Jun 7, 2006
Last updated
May 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.013998 IL Primary
Clinical Social Worker 1041C0700X 1753 KS

Addresses

Primary practice location

6 Dunlap CT
Savoy, IL 61874-9501

Mailing address

201 Westboro Rd
Savoy, IL 61874-8300
Phone (217) 954-1579

Other names 1

  • Ms. Elizabeth D Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2013 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.013998ILMDClinical Social Worker
1753KSMDClinical Social Worker
4243OKMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1508806936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WESTBORO RD",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618748300",
            "telephone_number": "217-954-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DUNLAP CT",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749501",
            "telephone_number": "217-520-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGART",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LSCSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013998",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMITH",
            "middle_name": "D",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savoy, IL

Sources for this page

Verify at the official NPI Registry.