Individual provider Active NPI

Victoria Rosner, LCSW

  • Clinical Social Worker
  • Hoffman Estates, IL
National Provider Identifier
1801404678
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022791 Issued in IL
Practice address
210 Flagstaff LN
Hoffman Estates, IL 60169-3223
Phone
(312) 208-3577
NPI assigned
Jul 17, 2020
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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 149.022791 IL Primary

Addresses

Primary practice location

210 Flagstaff LN
Hoffman Estates, IL 60169-3223

Mailing address

210 Flagstaff LN
Hoffman Estates, IL 60169-3223
Phone (312) 208-3577

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
I20210713002022 IL Practitioner - Clinical Social Worker 5496157430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022791ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mathers Clinic LLC Current Accepting new patients
The Mathers Clinic LLC CurrentSince May 1, 2021 Accepting new patients

Locations

145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654

145 S Virginia St
Ste C
Crystal Lake, IL 60014
Phone (815) 363-6055

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1801404678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FLAGSTAFF LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693223",
            "telephone_number": "312-208-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FLAGSTAFF LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693223",
            "telephone_number": "312-208-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.