Individual provider Active NPI

Raquel Rocha, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1861025082
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021946 Issued in IL
Practice address
10 N Martingale Rd Ste 400
Schaumburg, IL 60173-2411
Phone
(630) 635-6189
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C017191 NC
Clinical Social Worker 1041C0700X 149.021946 IL Primary

Addresses

Primary practice location

10 N Martingale Rd Ste 400
Schaumburg, IL 60173-2411

Mailing address

10 N Martingale Rd Ste 400
Schaumburg, IL 60173-2411
Phone (630) 635-6189

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
I20200806000843 IL Practitioner - Clinical Social Worker 7517382674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021946ILMDClinical Social Worker
C017191NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Re Wellness Chicago PLLC Clinical CurrentSince Jan 1, 2021 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7433 N Clark St
Chicago, IL 60626
Phone (312) 756-0468

10 N Martingale Rd
Ste 400
Schaumburg, IL 60173
Phone (630) 282-4884

1375 E Schaumburg Rd
Ste 260
Schaumburg, IL 60194
Phone (847) 895-4540

Interoperability endpoints

  • Direct secure messaging: raquelrocha@tdh.allscriptsdirect.net

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1861025082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N MARTINGALE RD STE 400",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732411",
            "telephone_number": "630-635-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MARTINGALE RD STE 400",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732411",
            "telephone_number": "630-635-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "RAQUEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017191",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.