Individual provider Active NPI

Sharon Lee Rosman, LCSW

  • Clinical Social Worker
  • Niles, IL
National Provider Identifier
1982374500
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
999 Civic Center Dr FL 3
Niles, IL 60714-3224
Phone
(847) 588-8460
Fax
(847) 588-8454
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 Primary

Addresses

Primary practice location

999 Civic Center Dr FL 3
Niles, IL 60714-3224

Mailing address

999 Civic Center Dr FL 3
Niles, IL 60714-3224
Phone (847) 588-8460

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
I20230109001605 IL Practitioner - Clinical Social Worker 1658741632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Village of NilesGroup PAC ID 1951473057, 4 clinicians

Practice addresses (Care Compare)

999 Civic Ctr Dr
Niles, IL 60714-3224
Phone (847) 588-8479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village of Niles CurrentSince Aug 24, 2022 Accepting new patients
Village of Niles Clinical CurrentSince Aug 24, 2022 Accepting new patients

Locations

999 Civic Center Dr
Niles, IL 60714
Phone (847) 588-8460

999 Civic Center Dr
#3
Niles, IL 60714
Phone (773) 414-0910

999 Civic Center Dr
Ste 3
Niles, IL 60714

999 Civic Center Dr
Fl 3
Niles, IL 60714
Phone (847) 588-8460

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1982374500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CIVIC CENTER DR FL 3",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143224",
            "telephone_number": "847-588-8460",
            "fax_number": "847-588-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CIVIC CENTER DR FL 3",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143224",
            "telephone_number": "847-588-8460",
            "fax_number": "847-588-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSMAN",
        "first_name": "SHARON",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.