Individual provider Active NPI

Eric Ornstein, L.C.S.W.

  • Clinical Social Worker
  • Morton Grove, IL
National Provider Identifier
1568592178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000216 Issued in IL
Practice address
5912 Main St
Morton Grove, IL 60053-3364
Phone
(847) 966-0007
Fax
(847) 966-8542
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 149000216 IL Primary

Addresses

Primary practice location

5912 Main St
Morton Grove, IL 60053-3364

Mailing address

5912 Main St
Morton Grove, IL 60053-3364
Phone (847) 966-0007

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
I20120723000937 IL Practitioner - Clinical Social Worker 5799941589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. David Rakofsky PCGroup PAC ID 6103001797, 10 clinicians

Practice addresses (Care Compare)

1011 W Wellington Ave
Suite 210
Chicago, IL 60657-7187
Phone (312) 384-1940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David Rakofsky PC CurrentSince Jul 31, 2019 Accepting new patients
Home Psych Services, P.C. Past Accepting new patients

Locations

1011 W Wellington Ave
Ste 210
Chicago, IL 60657
Phone (312) 682-0958

666 Dundee Rd
Ste 706
Northbrook, IL 60062
Phone (312) 809-6911

1950 N Stemmons Fwy
Ste 5010
Dallas, TX 75207

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568592178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 MAIN ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533364",
            "telephone_number": "847-966-0007",
            "fax_number": "847-966-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 MAIN ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533364",
            "telephone_number": "847-966-0007",
            "fax_number": "847-966-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNSTEIN",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.