Individual provider Active NPI

Arlene Ross Langley, LCSW

  • Clinical Social Worker
  • Downers Grove, IL
National Provider Identifier
1841389954
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6858-123 Issued in WI
Practice address
728 Ogden Ave Ste E
Downers Grove, IL 60515
Phone
(715) 617-6000
Fax
(630) 541-6557
NPI assigned
Oct 12, 2006
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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 6858-123 WI Primary

Addresses

Primary practice location

728 Ogden Ave Ste E
Downers Grove, IL 60515

Mailing address

4410 Cumnor Rd
Downers Grove, IL 60515-3135
Phone (715) 617-6000

Other practice location 1

17A W Davenport St
Rhinelander, WI 54501-3456
Phone (715) 369-6955

Other practice location 2

17A W Davenport St
Rhinelander, WI 54501-3456
Phone (715) 369-6955

Other identifiers 1

IdentifierTypeStateIssuer
40973800MedicaidWI

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
I20191009001745 IL Practitioner - Clinical Social Worker 8123105103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer Logston Counseling LTDGroup PAC ID 2769768811, 3 clinicians

Practice addresses (Care Compare)

5010 Fairview Ave
Suite 5
Downers Grove, IL 60515-5201
Phone (715) 617-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Mind Counseling LLC Clinical CurrentSince Jun 9, 2019 Accepting new patients
Jennifer Logston Counseling LTD Clinical CurrentSince Sep 1, 2022 Accepting new patients
Impact Counseling Services, LLC Past Accepting new patients
Impact Counseling Services, LLC Past Accepting new patients

Locations

5010 Fairview Ave
Ste 5
Downers Grove, IL 60515
Phone (630) 528-8855

728 Ogden Ave
Ste E
Downers Grove, IL 60515
Phone (630) 640-2980

900 Ogden Ave
Downers Grove, IL 60515
Phone (773) 234-0388

Organizations & group practices 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1841389954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CUMNOR RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153135",
            "telephone_number": "715-617-6000",
            "fax_number": "630-541-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 OGDEN AVE STE E",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "715-617-6000",
            "fax_number": "630-541-6557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17A W Davenport St",
            "address_purpose": "LOCATION",
            "city": "Rhinelander",
            "state": "WI",
            "postal_code": "545013456",
            "country_code": "US",
            "telephone_number": "715-369-6955",
            "fax_number": "715-369-0581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17A W Davenport St",
            "address_purpose": "LOCATION",
            "city": "Rhinelander",
            "state": "WI",
            "postal_code": "545013456",
            "country_code": "US",
            "telephone_number": "715-369-6955",
            "fax_number": "715-369-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "ARLENE",
        "middle_name": "ROSS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6858-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40973800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.