Active NPI
Patricia Zullo
- Clinical Social Worker
- Elk Grove Village, IL
National Provider Identifier
1801244678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.017212
- Practice address
- 1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217 - Phone
- (847) 524-8800
- Fax
- (847) 585-0124
- NPI assigned
- Jun 2, 2016
- Last updated
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.017212 | IL | Primary |
Addresses
Primary practice location
1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Mailing address
1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Phone (847) 524-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 16, 2020 through Jan 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.017212 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1801244678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ROHLWING RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073217",
"telephone_number": "847-524-8800",
"fax_number": "847-585-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 ROHLWING RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073217",
"telephone_number": "847-524-8800",
"fax_number": "847-585-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZULLO",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.017212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.