Brett Alan Sisler, LCSW LICENSED CLINIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

114 W Rockland Rd
Libertyville, IL 60048

Phone

(847) 816-9180

Fax

(847) 816-9183

NPI assigned

Apr 12, 2007

Sex

Male

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

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Rockland Professional Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Libertyville, IL
  • NPI 1295897148
  Medicare reassignment NPD Authorized official
• Amaryllis Counseling Services PLLC

  • Clinical Social Worker
  • Libertyville, IL
  • NPI 1184428922
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609090844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HORATIO BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-520-5415",
            "fax_number": "847-816-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W ROCKLAND RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-816-9180",
            "fax_number": "847-816-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISLER",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCSW LICENSED CLINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Sima, D.C.
• Melinda E Simon, MD
• Jeanette Singer
• Thomas Gerald Sircher, D.C.
• Izabella Sisarica, LCPC
• Jennifer Lynn Sizemore, BCBA
• SJS Medical Labs, LLC D/B/a Arcpoint Labs of Libertyville
• Briana Skarbek, D.C.
• Lindsey Skinner, OTR/L
• David J Slivnick, MD

• Clinical Social Worker in Libertyville, IL
• Providers in Libertyville, 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 Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.