Individual provider Active NPI

Sarah Rodemann, MSSA, LCSW

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1801312079
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149022812 Issued in IL
Practice address
4723 W Shakespeare Ave
Chicago, IL 60639-3319
Phone
(216) 970-0297
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149022812 IL
Clinical Social Worker 1041C0700X I1700595 OH
Mental Health Counselor 101YM0800X 149022812 IL Primary

Addresses

Primary practice location

4723 W Shakespeare Ave
Chicago, IL 60639-3319

Mailing address

4000 W Montrose Ave # 567
Chicago, IL 60641-2140
Phone (216) 970-0297

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
149022812ILMDClinical Social Worker
I1700595OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Macleod Counseling CurrentSince Jan 15, 2023 Accepting new patients

Locations

4000 W Montrose Ave
Chicago, IL 60641
Phone (312) 899-6004

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1801312079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W MONTROSE AVE # 567",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412140",
            "telephone_number": "216-970-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W SHAKESPEARE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393319",
            "telephone_number": "216-970-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEMANN",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "MSSA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022812",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1700595",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149022812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.