Carol O Weinberg, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

426 Park Ave E
Suite 5
Highland Park, IL 60035-2627

Phone

(847) 433-8407

Fax

(847) 926-8180

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Carol O Glazier Other name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carol O. Weinberg LCSW Inc.

  • Clinical Social Worker
  • Highland Park, IL
  • NPI 1760668040
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861566275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 PARK AVE E",
            "address_2": "SUITE 5",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352627",
            "telephone_number": "847-433-8407",
            "fax_number": "847-926-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 PARK AVE E",
            "address_2": "SUITE 5",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352627",
            "telephone_number": "847-433-8407",
            "fax_number": "847-926-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "CAROL",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENH ILLINOIS",
            "identifier": "32044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "04932416",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GLAZIER",
            "middle_name": "O",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Kathleen Rourke Wasserman, APN, CNM
• Michael Scott Wasserman, DDS
• Daryl Steven Watson Jr., CRNA
• Jane F Watson, ACE, ASFA
• Brian M Weinberg, D.M.D.
• Ellie R Weinberg, LSW
• Dana Weine, M.S.
• Laurie K Weiss, MS
• Alexa Rae Weitendorf, MSOT, OTR/L
• Wellbound Counseling

• Social Worker in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.