Individual provider Active NPI

Nancy A Eschbach, LCSW

  • Clinical Social Worker
  • Des Plaines, IL
National Provider Identifier
1972993988
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149004925 Issued in IL
Practice address
1585 Ellinwood Ave
Suite 106
Des Plaines, IL 60016-4510
Phone
(847) 877-3970
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 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 149004925 IL Primary

Addresses

Primary practice location

1585 Ellinwood Ave
Suite 106
Des Plaines, IL 60016-4510

Mailing address

844 Azure CT
Corolla, NC 27927-9699
Phone (847) 877-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1972993988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 AZURE CT",
            "city": "COROLLA",
            "state": "NC",
            "postal_code": "279279699",
            "telephone_number": "847-877-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 ELLINWOOD AVE",
            "address_2": "SUITE 106",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164510",
            "telephone_number": "847-877-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHBACH",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.