Individual provider Active NPI

Elisabeth Anne Eyer, LCSW

  • Clinical Social Worker
  • Deerfield, IL
National Provider Identifier
1841830809
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021594 Issued in IL
Practice address
49 S Waukegan Rd Ste 200
Deerfield, IL 60015-5204
Phone
(847) 425-6400
Fax
(847) 425-6408
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 149.021594 IL Primary

Addresses

Primary practice location

49 S Waukegan Rd Ste 200
Deerfield, IL 60015-5204

Mailing address

49 S Waukegan Rd Ste 200
Deerfield, IL 60015-5204
Phone (847) 425-6400

Other practice location 1

33 W Higgins Rd Ste 2030
South Barrington, IL 60010-9342
Phone (708) 546-3939

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
I20200423000577 IL Practitioner - Clinical Social Worker 8325478951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maloy Therapeutic Alliance IncGroup PAC ID 7416284740, 5 clinicians

Practice addresses (Care Compare)

33 W Higgins Rd
Suite 2030
South Barrington, IL 60010-9342
Phone (847) 844-0864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021594ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jun 21, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 21, 2021 Accepting new patients
Maloy Therapeutic Alliance Inc CurrentSince Jan 25, 2020 Accepting new patients
DM Speech Therapy LLC PastSince Jan 1, 2020 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2155 Pfingsten Rd
Northbrook, IL 60062
Phone (847) 480-6350

33 W Higgins Rd
Ste 2030
South Barrington, IL 60010
Phone (224) 628-5823

Organizations & group practices 4

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1841830809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 S WAUKEGAN RD STE 200",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155204",
            "telephone_number": "847-425-6400",
            "fax_number": "847-425-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 S WAUKEGAN RD STE 200",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155204",
            "telephone_number": "847-425-6400",
            "fax_number": "847-425-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W Higgins Rd Ste 2030",
            "address_purpose": "LOCATION",
            "city": "South Barrington",
            "state": "IL",
            "postal_code": "600109342",
            "country_code": "US",
            "telephone_number": "708-546-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYER",
        "first_name": "ELISABETH",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.