Guy E Oberwise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-002760 Issued in IL

Practice address

12 Salt Creek Lane
Suite 405
Hinsdale, USA 60521
UM

Phone

(630) 789-7800

Fax

(630) 789-7803

NPI assigned

Dec 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Good Hope Behavioral Health

  • Adult Mental Health Clinic/Center
  • Hinsdale, IL
  • NPI 1417258781
  Medicare reassignment NPD
• Apex Mental Health PLLC

  • Counselor
  • Palos Heights, IL
  • NPI 1205771227
  NPD Authorized official

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1518388784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12618 S MCVICKERS AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631833",
            "telephone_number": "708-522-4815",
            "fax_number": "815-806-9595"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "12 SALT CREEK LANE",
            "address_2": "SUITE 405",
            "city": "HINSDALE",
            "state": "USA",
            "postal_code": "60521",
            "telephone_number": "630-789-7800",
            "fax_number": "630-789-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERWISE",
        "first_name": "GUY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-002760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.