Individual provider Active NPI

Alberto Minzer, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1700973500
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000331 Issued in IL
Practice address
715 E Golf Rd
Ste 200A1
Schaumburg, IL 60173-4595
Phone
(847) 602-8023
NPI assigned
Oct 5, 2006
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149000331 IL Primary
Specialist 174400000X 149-000331 IL

Addresses

Primary practice location

715 E Golf Rd
Ste 200A1
Schaumburg, IL 60173-4595

Mailing address

1400 N Yarmouth PL Apt 106
Mount Prospect, IL 60056-1064
Phone (847) 602-8023

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
I20050104000434 IL Practitioner - Clinical Social Worker 2264480599 Reassigns benefits to 1 organization
Practice locations: Schaumburg, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Alberto Minzer and Associates LLCGroup PAC ID 1557748316, 5 clinicians

Practice addresses (Care Compare)

766 N Walden Dr
Palatine, IL 60067-8641
Phone (847) 602-8023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-000331ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative and Functional Health and Wellness LLC Single Specialty CurrentSince Nov 10, 2022 Accepting new patients
Alberto Minzer and Associates LLC Single Specialty CurrentSince Mar 14, 2022 Accepting new patients
Jerry P Gore Center for Holistic Medicine LLC Specialist Past Accepting new patients

Locations

1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400

715 E Golf Rd
Ste 200A1
Schaumburg, IL 60173
Phone (708) 807-0184

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1700973500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N YARMOUTH PL APT 106",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561064",
            "telephone_number": "847-602-8023",
            "fax_number": "847-392-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD",
            "address_2": "STE 200A1",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734595",
            "telephone_number": "847-602-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINZER",
        "first_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000331",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "149-000331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.