Individual provider Active NPI

Sandra Eckhaus

  • Clinical Social Worker
  • Elmhurst, IL
National Provider Identifier
1780622456
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149001389 Issued in IL
Practice address
386 N York Rd
Suite 204
Elmhurst, IL 60126-2363
Phone
(630) 834-1557
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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 149001389 IL Primary

Addresses

Primary practice location

386 N York Rd
Suite 204
Elmhurst, IL 60126-2363

Mailing address

386 N York Rd
Suite 204
Elmhurst, IL 60126-2363

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
I20050722000173 IL Practitioner - Clinical Social Worker 5092742999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

386 N York Rd
Suite 100
Elmhurst, IL 60126-2365

386 N York St
Suite 100
Elmhurst, IL 60126-2365
Phone (630) 834-1557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Multi-Specialty Medical Services Association SC Clinical CurrentSince Jan 1, 2005 Accepting new patients
Mosaic Counseling and Wellness LLC PastSince Jun 25, 2023 Accepting new patients

Locations

386 N York St
Ste 100
Elmhurst, IL 60126
Phone (630) 834-1557

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1780622456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 N YORK RD",
            "address_2": "SUITE 204",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N YORK RD",
            "address_2": "SUITE 204",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363",
            "telephone_number": "630-834-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHAUS",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.