Active NPI
Olivia Espinosa, LCSW
- Clinical Social Worker
- Geneva, IL
National Provider Identifier
1700550324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.022201
- Practice address
- 28 S 5TH St
Geneva, IL 60134-2111 - Phone
- (630) 765-3214
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- No
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.
-
- Specialist
- Geneva, IL
- NPI 1134255490
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Anchor Counseling Inc
Practice addresses (Care Compare)
2700 Keslinger Rd
Suite B
Geneva, IL 60134-4645
Phone (630) 765-3214
43 W043 Campton Hills Rd
Elburn, IL 60119-9435
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210928003177 | IL | Practitioner - Clinical Social Worker | 1355748666 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.022201 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Counseling Inc. | Current | Accepting new patients | |
| Ronald B Bukowy MD SC | Past | Accepting new patients |
Locations
2700 Keslinger Rd
Ste B
Geneva, IL 60134
Phone (630) 262-1500
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.022201 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
28 S 5TH St
Geneva, IL 60134-2111
Mailing address
968 Hyacynth LN
Bartlett, IL 60103-5748
Phone (224) 723-8912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2021.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1700550324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 HYACYNTH LN",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035748",
"telephone_number": "224-723-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 S 5TH ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342111",
"telephone_number": "630-765-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "OLIVIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.022201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.