Individual provider Active NPI

Michele Colette-Rogalski Sartain, LCSW

  • Clinical Social Worker
  • Lake in the Hills, IL
National Provider Identifier
1760632830
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010999 Issued in IL
Practice address
1301 Pyott Rd Ste 103
Lake in the Hills, IL 60156-9795
Phone
(815) 893-9484
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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 149.010999 IL Primary
Social Worker 104100000X 149.010999 IL

Addresses

Primary practice location

1301 Pyott Rd Ste 103
Lake in the Hills, IL 60156-9795

Mailing address

1301 Pyott Rd Ste 103
Lake in the Hills, IL 60156-9795
Phone (815) 893-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.010999ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Therapy Center P.C. Past Accepting new patients

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1760632830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 103",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569795",
            "telephone_number": "815-893-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 103",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569795",
            "telephone_number": "815-893-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTAIN",
        "first_name": "MICHELE",
        "middle_name": "COLETTE-ROGALSKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010999",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.010999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.