Individual provider Active NPI

Emily Weber

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1962923102
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018311 Issued in IL
Practice address
477 E Butterfield Rd Ste 310
Lombard, IL 60148-4880
Phone
(630) 791-0555
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 30967 IL
Clinical Social Worker 1041C0700X 149018311 IL Primary

Addresses

Primary practice location

477 E Butterfield Rd Ste 310
Lombard, IL 60148-4880

Mailing address

477 E. Butterfield
Suite 310
Lombard, IL 60148
Phone (630) 791-0555

Other practice location 1

1135 S Oak Park Ave Apt G
Oak Park, IL 60304-2033
Phone (630) 791-0555

Other practice location 2

1135 S Oak Park Ave Apt G
Oak Park, IL 60304-2033
Phone (630) 791-0555

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
I20180816000785 IL Practitioner - Clinical Social Worker 0244589737 Reassigns benefits to 1 organization
Practice locations: Lombard, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emh Dupage PLLCGroup PAC ID 0941687487, 7 clinicians

Practice addresses (Care Compare)

5151 Mochel Dr
Suite 304
Downers Grove, IL 60515-5078
Phone (630) 324-4663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30967ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Dupage PLLC CurrentSince Apr 1, 2022 Accepting new patients
Emily Weber LLC Current Accepting new patients

Locations

5151 Mochel Dr
Ste 304
Downers Grove, IL 60515
Phone (630) 324-4663

915 W Hawthorn Dr
Itasca, IL 60143
Phone (331) 218-2777

477 E Butterfield Rd
Ste 310
Lombard, IL 60148
Phone (312) 404-2191

1000 Jorie Blvd
Ste 228
Oak Brook, IL 60523
Phone (630) 283-2950

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1962923102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E. BUTTERFIELD",
            "address_2": "SUITE 310",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-791-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 310",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484880",
            "telephone_number": "630-791-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 S Oak Park Ave Apt G",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603042033",
            "country_code": "US",
            "telephone_number": "630-791-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 S Oak Park Ave Apt G",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603042033",
            "country_code": "US",
            "telephone_number": "630-791-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30967",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.