Active NPI
Elisabeth Anne Eyer, LCSW
- Clinical Social Worker
- Deerfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.021594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.021594 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Maloy Therapeutic Alliance Inc | Current | Accepting new patients | |
| DM Speech Therapy LLC | Past | 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.
-
- Clinical Psychologist
- Schaumburg, IL
- NPI 1376011049
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Speech-Language Pathologist
- Glenview, IL
- NPI 1427695816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.