Phillip Elbaum LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PHILLIP ELBAUM LCSW

Practice address

35 Greenbriar Dr
Deerfield, IL 60015-5053

Phone

(847) 948-8696

Fax

(847) 948-8707

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Elbaum, LCSWNPI 1386695195

Title

Clinical Social Worker

Phone

(847) 948-8696

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip L. Elbaum, MSW

  • Clinical Social Worker
  • Deerfield, IL
  • NPI 1386695195
  NPD (past) Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1982884052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREENBRIAR DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155053",
            "telephone_number": "847-948-8696",
            "fax_number": "847-948-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GREENBRIAR DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155053",
            "telephone_number": "847-948-8696",
            "fax_number": "847-948-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP ELBAUM LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "ELBAUM",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-948-8696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0004972087",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Perez
• Nancy B Perlson, LCSW
• Charles Perry
• Amy Pfeifer, PHARM.D.
• Mary Hieu Pham
• David N Phillips, OD
• Natalie Picazo
• Anthony J Pick, M.D.
• Katarzyna Blanka Pilewicz
• Matthew S. Plofsky, MD

• Clinical Social Worker in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.