Individual provider Active NPI

Sara Elisabeth Riggle, MSSW

  • Social Worker
  • Northbrook, IL
National Provider Identifier
1801566773
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.111199 Issued in IL
Practice address
3100 Dundee Rd Ste 101
Northbrook, IL 60062-2462
Phone
(847) 919-9096
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.111199 IL Primary

Addresses

Primary practice location

3100 Dundee Rd Ste 101
Northbrook, IL 60062-2462

Mailing address

3100 Dundee Rd Ste 101
Northbrook, IL 60062-2462
Phone (847) 919-9096

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
I20260420001473 IL Practitioner - Clinical Social Worker 8628544343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3100 Dundee Rd
Suite 101
Northbrook, IL 60062-2425

3100 Dundee Rd
Suite 101
Northbrook, IL 60062-2462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.111199ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Counseling Center, LLC CurrentSince Sep 10, 2023 Accepting new patients
American Medical Response of Tennessee, Inc. PastSince Sep 1, 2021 Accepting new patients
Helen Ross McNabb Center PastSince Sep 1, 2021 Accepting new patients

Locations

3100 Dundee Rd
Ste 101
Northbrook, IL 60062
Phone (847) 313-9490

Organizations & group practices 3

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1801566773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622462",
            "telephone_number": "847-919-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622462",
            "telephone_number": "847-919-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGLE",
        "first_name": "SARA",
        "middle_name": "ELISABETH",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.111199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.