Individual provider Active NPI

Patricia Stern, LCSW

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1902329279
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-005888 Issued in IL
Practice address
660 Gray Avenue
Highland Park, IL 60035-4014
Phone
(847) 926-0990
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 149-005888 IL Primary

Addresses

Primary practice location

660 Gray Avenue
Highland Park, IL 60035-4014

Mailing address

660 Gray Ave
Highland Park, IL 60035-4014
Phone (847) 926-0990

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
I20171011000572 IL Practitioner - Clinical Social Worker 6305111758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Patient Centered Care Partners IncGroup PAC ID 8123393576, 2 clinicians

Practice addresses (Care Compare)

Highland Park, IL 60035
Phone (847) 926-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-005888ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Centered Care Partners Inc Clinical CurrentSince Aug 16, 2017 Accepting new patients
Counseling Center of Grayslake LTD. Clinical CurrentSince Mar 8, 2018 Accepting new patients

Locations

1190 E Washington St
Grayslake, IL 60030
Phone (847) 477-0434

106 Center St
Grayslake, IL 60030
Phone (847) 543-8400

Organizations & group practices 2

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902329279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GRAY AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354014",
            "telephone_number": "847-926-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GRAY AVENUE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354014",
            "telephone_number": "847-926-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-005888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.