Individual provider Active NPI

Russell Getz, LCSW

  • Clinical Social Worker
  • Sleepy Hollow, IL
National Provider Identifier
1538290028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1490004942 Issued in IL
Practice address
213 Jamestowne
Sleepy Hollow, IL 60118
Phone
(847) 428-2600
Fax
(847) 428-2600
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1490004942 IL Primary

Addresses

Primary practice location

213 Jamestowne
Sleepy Hollow, IL 60118

Mailing address

213 Jamestowne
Sleepy Hollow, IL 60118
Phone (847) 428-2600

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

State licenses

LicenseStateTypeSpecialty
1490004942ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538290028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 JAMESTOWNE",
            "city": "SLEEPY HOLLOW",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "847-428-2600",
            "fax_number": "847-426-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 JAMESTOWNE",
            "city": "SLEEPY HOLLOW",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "847-428-2600",
            "fax_number": "847-428-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETZ",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "1490004942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.