Individual provider Active NPI

Julie Rylatt, LCSW

  • Clinical Social Worker
  • Winnebago, IL
National Provider Identifier
1851836696
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018976 Issued in IL
Practice address
3738 Westlake Village Dr
Winnebago, IL 61088-8040
Phone
(815) 978-7844
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 149018976 IL Primary

Addresses

Primary practice location

3738 Westlake Village Dr
Winnebago, IL 61088-8040

Mailing address

3738 Westlake Village Dr
Winnebago, IL 61088-8040
Phone (815) 978-7844

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
I20200511000046 IL Practitioner - Clinical Social Worker 1052742988 Reassigns benefits to 1 organization
Practice locations: Rockford, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Willow Creek Counseling LLCGroup PAC ID 8325415102, 9 clinicians

Practice addresses (Care Compare)

5906 Elaine Dr
Suite 103
Rockford, IL 61108-2467
Phone (779) 210-3453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149018976ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Creek Counseling LLC Clinical CurrentSince Jul 13, 2022 Accepting new patients

Locations

5906 Elaine Dr
Ste 103
Rockford, IL 61108
Phone (779) 210-3453

Organizations & group practices 1

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1851836696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 WESTLAKE VILLAGE DR",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "610888040",
            "telephone_number": "815-978-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 WESTLAKE VILLAGE DR",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "610888040",
            "telephone_number": "815-978-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYLATT",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, IL

Sources for this page

Verify at the official NPI Registry.