Individual provider Active NPI

Yevgeny B Roginsky, LCSW

  • Clinical Social Worker
  • Deerfield, IL
National Provider Identifier
1669895165
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008910 Issued in IL
Practice address
1020 Milwaukee Ave Ste 235
Deerfield, IL 60015-3555
Phone
(847) 975-2331
Fax
(224) 676-0848
NPI assigned
Feb 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 149008910 IL Primary

Addresses

Primary practice location

1020 Milwaukee Ave Ste 235
Deerfield, IL 60015-3555

Mailing address

818 Swallow St
Deerfield, IL 60015-3651
Phone (847) 975-2331

Other names 1

  • Eugene B Roginsky Professional name

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
I20181203001527 IL Practitioner - Clinical Social Worker 2961746987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1020 Milwaukee Ave
Suite 235
Deerfield, IL 60015-3555
Phone (847) 975-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149008910ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge2Horizon Wellness Resource LLC Clinical CurrentSince Oct 12, 2018 Accepting new patients
Silver Lining Care LLC CurrentSince Oct 24, 2022 Accepting new patients

Locations

1020 Milwaukee Ave
Ste 229
Deerfield, IL 60015
Phone (847) 767-0552

1020 Milwaukee Ave
Ste 235
Deerfield, IL 60015
Phone (847) 436-6967

1 Overlook Pt
Ste 148
Lincolnshire, IL 60069
Phone (847) 975-2331

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1669895165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SWALLOW ST",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153651",
            "telephone_number": "847-975-2331",
            "fax_number": "224-676-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE STE 235",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153555",
            "telephone_number": "847-975-2331",
            "fax_number": "224-676-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGINSKY",
        "first_name": "YEVGENY",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENE",
            "last_name": "ROGINSKY",
            "middle_name": "B",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.