Roseanne Trevino

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020048 Issued in IL

Practice address

535 Plainfield Rd
Willowbrook, IL 60527-7607

Phone

(630) 269-2886

NPI assigned

Feb 4, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  NPD

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517702400000",
    "number": "1528567641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9064 LANCASTER LN",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605177590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLAINFIELD RD",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277607",
            "telephone_number": "630-269-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ROSEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-04",
        "last_updated": "2018-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The 83Rd. Professional Group
• Therapy Works
• Rainu Thomas
• Mary Thuma
• Gail Tischke, DDS, MS
• Carina Tuazon, PT
• Danielle Chante Turner
• Uzoma A Ugwu, NP
• Alexandra Ulrich, LCPC
• Urgent Medical Care LLC

• Clinical Social Worker in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.