Individual provider Active NPI

Aryn Rose, LSW

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1902365075
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150012541 Issued in IL
Practice address
1280 Old Skokie Rd
Highland Park, IL 60035-3028
Phone
(847) 962-2345
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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 150012541 IL Primary

Addresses

Primary practice location

1280 Old Skokie Rd
Highland Park, IL 60035-3028

Mailing address

408 W Keith Ave
Waukegan, IL 60085-1925
Phone (847) 962-2345

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
I20230922001069 IL Practitioner - Clinical Social Worker 9335593409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Center of Grayslake LTDGroup PAC ID 7214214378, 11 clinicians

Practice addresses (Care Compare)

1190 E Washington St
Grayslake, IL 60030-7960
Phone (847) 549-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150012541ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Grayslake LTD. Clinical CurrentSince Aug 22, 2023 Accepting new patients

Locations

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

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

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1902365075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W KEITH AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600851925",
            "telephone_number": "847-962-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 OLD SKOKIE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353028",
            "telephone_number": "847-962-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ARYN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150012541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.