Ellen Rose Sagendorph, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023823 Issued in IL

Practice address

2500 W Higgins Rd Ste 1250
Hoffman Estates, IL 60169-2051

Phone

(847) 303-1880

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Psychology Associates, P.C.

  • Psychologist
  • Schaumburg, IL
  • NPI 1427188952
  NPD (past)

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1740948793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 VICTORIA DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600428211",
            "telephone_number": "847-858-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD STE 1250",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692051",
            "telephone_number": "847-303-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGENDORPH",
        "first_name": "ELLEN",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S & T Medical Group LTD
• S K Talluri MDSC
• S&T Medical Group LTD
• Samantha Anne Saad
• Mohammed Hassaan Sabit, MBBS
• Pichrasmei Saing, PHARMD
• Saje Technology
• Jalena Salamone
• Martin Salgado
• Lori Salha

• Clinical Social Worker in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.