Active NPI
Maribeth Struebing, LCSW
- Clinical Social Worker
- Grayslake, IL
National Provider Identifier
1649305632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011487
- Practice address
- 34121 N US Highway 45
Suite 227
Grayslake, IL 60030-1768 - Phone
- (847) 287-7203
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149011487 | IL | Primary |
Addresses
Primary practice location
34121 N US Highway 45
Suite 227
Grayslake, IL 60030-1768
Mailing address
34121 N US Highway 45
Suite 227
Grayslake, IL 60030-1768
Phone (847) 287-7203
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149011487 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Solutions Counseling Center, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Grayslake, IL
- NPI 1437438462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1649305632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34121 N US HIGHWAY 45",
"address_2": "SUITE 227",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600301768",
"telephone_number": "847-287-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34121 N US HIGHWAY 45",
"address_2": "SUITE 227",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600301768",
"telephone_number": "847-287-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUEBING",
"first_name": "MARIBETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149011487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.