Individual provider Active NPI

Rebekah Ann Ray Nguyen, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1992216428
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014469 Issued in IL
Practice address
1400 W Greenleaf Ave
Chicago, IL 60626-2805
Phone
(312) 785-3375
Fax
(773) 262-4841
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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 149.014469 IL Primary

Addresses

Primary practice location

1400 W Greenleaf Ave
Chicago, IL 60626-2805

Mailing address

1400 W Greenleaf Ave
Chicago, IL 60626-2805
Phone (312) 785-3375

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
I20180626001839 IL Practitioner - Clinical Social Worker 0143575589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inclusive Insight Psychotherapy and ConsultingGroup PAC ID 4880937903, 16 clinicians

Practice addresses (Care Compare)

840 W Irving Park Rd
Suite 302
Chicago, IL 60613-3011
Phone (773) 659-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014469ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Insight Psychotherapy & Consulting CurrentSince Dec 31, 2022 Accepting new patients

Locations

840 W Irving Park Rd
Ste 302
Chicago, IL 60613
Phone (773) 871-5150

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1992216428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W GREENLEAF AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262805",
            "telephone_number": "312-785-3375",
            "fax_number": "773-262-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W GREENLEAF AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262805",
            "telephone_number": "312-785-3375",
            "fax_number": "773-262-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY NGUYEN",
        "first_name": "REBEKAH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.