Individual provider Active NPI

Christopher Michael Rodgers, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1750114476
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027519 Issued in IL
Practice address
155 N Michigan Ave Ste 609
Chicago, IL 60601-7511
Phone
(708) 665-6072
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 149.027519 IL Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 609
Chicago, IL 60601-7511

Mailing address

5320 N Sheridan Rd Apt 1604
Chicago, IL 60640-2544
Phone (321) 271-4796

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
I20240909001976 IL Practitioner - Clinical Social Worker 6305386061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliates in Counseling LLCGroup PAC ID 1254478514, 12 clinicians

Practice addresses (Care Compare)

155 N Michigan Ave
Suite 609
Chicago, IL 60601-7511
Phone (847) 480-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.027519ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Counseling LLC Clinical CurrentSince Aug 27, 2024 Accepting new patients

Locations

155 N Michigan Ave
Ste 609
Chicago, IL 60601
Phone (708) 288-5216

910 Skokie Blvd
Ste 215
Northbrook, IL 60062
Phone (847) 412-0280

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.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1750114476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 N SHERIDAN RD APT 1604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402544",
            "telephone_number": "321-271-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "708-665-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.