Emily Grace Ellsworth I, LCSW in Chicago, IL - Medicare Social Worker Provider

Emily Grace Ellsworth I, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. Her current practice location is 1400 W Greenleaf Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 806-9627.

Emily Grace Ellsworth I is licensed to practice in Illinois (license number 149.025332) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356024707.

Contact Information

	Emily Grace Ellsworth I, LCSW
	1400 W Greenleaf Ave, Chicago, IL 60626-2805
	(312) 806-9627
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Grace Ellsworth I
Gender	Female
Speciality	Social Worker - Clinical
Location	1400 W Greenleaf Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356024707
Provider Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5991168213
Enrollment ID: I20230901002570

Medical Identifiers

Medical identifiers for Emily Grace Ellsworth I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356024707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.025332 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emily Grace Ellsworth I allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Grace Ellsworth I is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Emily Grace Ellsworth I, LCSW 2236 W Logan Blvd Apt 2, Chicago, IL 60647-2115 Ph: (928) 242-4367	Emily Grace Ellsworth I, LCSW 1400 W Greenleaf Ave, Chicago, IL 60626-2805 Ph: (312) 806-9627

Reviews and Comments

Social Worker in Chicago, IL

Ms. Deborah Lee Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 W Peterson Ave, Chicago, IL 60659 Phone: 773-293-8437 Fax: 773-728-4751
Mrs. Melinda D Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 S Sacramento Ave, Chicago, IL 60652 Phone: 312-316-7977
Mr. Greg Rosen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1525 E 53rd St, #630, Chicago, IL 60615 Phone: 773-752-8808
Mrs. Imelda Gloria Ferreira, LCWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4150 W. 55th Street, Chicago, IL 60632 Phone: 312-745-1566
Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168
Ms. Aviva Cahn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601 Phone: 773-301-8576

Emily Grace Ellsworth I, LCSW - Medicare Clinical Social Worker in Chicago, IL