Active NPI
Carolyn Beth Gevirtz Stern, LCSW
- Social Worker
- Park Ridge, IL
National Provider Identifier
1922295088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150010550
- Practice address
- 444 N Northwest Hwy Ste 320
Park Ridge, IL 60068-3277 - Phone
- (847) 220-7298
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150010550 | IL | Primary |
Addresses
Primary practice location
444 N Northwest Hwy Ste 320
Park Ridge, IL 60068-3277
Mailing address
928 N Delphia Ave
Park Ridge, IL 60068-2020
Phone (847) 840-0594
Other names 1
- Carolyn Beth Gevirtz
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cstern@mainstcounselingsolutions.com | Direct | |
| Direct Messaging Address | cstern@mainstcounselingsolutions.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150010550 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1922295088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 N DELPHIA AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682020",
"telephone_number": "847-840-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 N NORTHWEST HWY STE 320",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683277",
"telephone_number": "847-220-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "CAROLYN",
"middle_name": "BETH GEVIRTZ",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150010550",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cstern@mainstcounselingsolutions.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "patient info",
"address_1": "444 N Northwest Hwy Ste 320",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600683277",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cstern@mainstcounselingsolutions.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "client info",
"address_1": "444 N Northwest Hwy Ste 320",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600683277",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "GEVIRTZ",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.