Active NPI
Alyse Ann Rynor, L.C.S.W.
- Clinical Social Worker
- Evanston, IL
National Provider Identifier
1669411583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149006701
- Practice address
- 1740 Ridge Ave
Suite 212
Evanston, IL 60201-5918 - Phone
- (847) 840-0884
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 149006701 | IL | Primary |
Addresses
Primary practice location
1740 Ridge Ave
Suite 212
Evanston, IL 60201-5918
Mailing address
1740 Ridge Ave
Suite 212
Evanston, IL 60201-5918
Phone (847) 840-0884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 12, 2024 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Palliative & Hospice Carecenter | 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.
-
- Home Health Agency
- Glenview, IL
- NPI 1811011919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1669411583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 RIDGE AVE",
"address_2": "SUITE 212",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015918",
"telephone_number": "847-840-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 RIDGE AVE",
"address_2": "SUITE 212",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015918",
"telephone_number": "847-840-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYNOR",
"first_name": "ALYSE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149006701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.