Individual provider Active NPI

Erin Brumback

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1558993238
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
881 Parkview Blvd
Lombard, IL 60148-3230
Phone
(844) 263-1613
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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 Primary

Addresses

Primary practice location

881 Parkview Blvd
Lombard, IL 60148-3230

Mailing address

650 W Grand Ave Ste 207
Elmhurst, IL 60126-1025
Phone (844) 263-1613

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230822002402 IL Practitioner - Clinical Social Worker 9739541822 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Jun 1, 2025 Accepting new patients
Edgewood Clinical Services, P.C. Clinical CurrentSince Aug 7, 2023 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

2845 N Sheridan Rd
Ste 809
Chicago, IL 60657
Phone (312) 761-4721

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1366 W Fullerton Ave
Chicago, IL 60614
Phone (630) 734-0640

504 W Wellington Ave
Chicago, IL 60657
Phone (772) 286-6622

Organizations & group practices 3

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1558993238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W GRAND AVE STE 207",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261025",
            "telephone_number": "844-263-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 PARKVIEW BLVD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483230",
            "telephone_number": "844-263-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBACK",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.