Individual provider Active NPI

Sharon Rubin, LCSW

  • Clinical Social Worker
  • Buffalo Grove, IL
National Provider Identifier
1982860086
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.007717 Issued in IL
Practice address
261 E Fabish Dr
Buffalo Grove, IL 60089-6873
Phone
(847) 465-9927
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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 149.007717 IL Primary

Addresses

Primary practice location

261 E Fabish Dr
Buffalo Grove, IL 60089-6873

Mailing address

261 E Fabish Dr
Buffalo Grove, IL 60089-6873
Phone (847) 465-9927

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
I20230328001516 IL Practitioner - Clinical Social Worker 4789058033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Attention to Wellness, LTD 3 clinicians

Practice addresses (Care Compare)

1020 Milwaukee Ave
Suite 235
Deerfield, IL 60015-3555
Phone (847) 436-6967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.007717ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Attention to Wellness, PLLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

1020 Milwaukee Ave
Ste 235
Deerfield, IL 60015
Phone (847) 436-6967

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1982860086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 E FABISH DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896873",
            "telephone_number": "847-465-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E FABISH DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896873",
            "telephone_number": "847-465-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.007717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.