Organization Active NPI

Renee B Wright PC

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1609000462
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-007117 Issued in IL
Legal business name
RENEE B WRIGHT PC
Practice address
636 Church St Ste 515
Evanston, IL 60201-4581
Phone
(847) 904-1220
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Renee B Wright, MSW, LCSWNPI 1699843755
Title
President
Phone
(847) 904-1220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149-007117 IL Primary

Addresses

Primary practice location

636 Church St Ste 515
Evanston, IL 60201-4581

Mailing address

2830 Harrison St
Evanston, IL 60201-1218
Phone (847) 207-1065

Other names 1

  • Spoke Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000133 IL Part B Supplier - Clinic/Group Practice 7517016066 Receives reassigned benefits from 3 practitioners
Practice locations: Evanston, IL

National Provider Directory

National Provider Directory

Locations

1234 Sherman Ave
Ste 107
Evanston, IL 60202
Phone (847) 804-1220

500 Davis St
Ste 107
Evanston, IL 60201
Phone (847) 271-2252

1560 Sherman Ave
Evanston, IL 60201
Phone (847) 491-9660

1560 Sherman Ave
Ste 650
Evanston, IL 60201
Phone (847) 328-1920

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1609000462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 HARRISON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011218",
            "telephone_number": "847-207-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 515",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014581",
            "telephone_number": "847-904-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE B WRIGHT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-904-1220",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spoke Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.