ETHAN ISRAELSOHN LCSW
NPI 1265504864
Social Worker - Clinical in Oak Park, IL

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
715 LAKE ST, STE 710, OAK PARK, IL 60301(708) 848-0112(708) 386-4211 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Israelsohn Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN ISRAELSOHN LCSW (NPI 1265504864) is an individual clinical provider in Oak Park, Illinois, licensed in Illinois (149-007781) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1994).

NPPES Registry Identity

NPI1265504864
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameETHAN ISRAELSOHNCredential: LCSW
Location Address715 LAKE ST, STE 710Oak Park, IL 60301-1416
Mailing Address715 Lake St, Ste 710Oak Park, IL 60301-1416 · (708) 848-0112 · Fax (708) 386-4211
Fax(708) 386-4211
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1994
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 31, 2017
NPI 1265504864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149-007781
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

715 LAKE ST, Oak Park, IL 60301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ethan Israelsohn Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173029824
PECOS Enrollment IDI20251001002211
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
715 LAKE ST
OAK PARK, IL 60301
Pharmacy (Community/Retail Pharmacy)
715 LAKE ST
OAK PARK, IL 60301
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
715 LAKE ST
OAK PARK, IL 60301
Clinic/Center (Family Planning, Non-Surgical)
715 LAKE ST, SUITE 273
OAK PARK, IL 60301
Advanced Practice Midwife
715 LAKE ST, SUITE 273
OAK PARK, IL 60301
Dentist (General Practice)
715 LAKE ST, SUITE 300
OAK PARK, IL 60301
Social Worker (Clinical)
715 LAKE ST, SUITE 720
OAK PARK, IL 60301
Naprapath
715 LAKE ST
OAK PARK, IL 60301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Israelsohn's NPI number?

The NPI number for Ethan Israelsohn is 1265504864. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Ethan Israelsohn located?

Ethan Israelsohn practices at 715 Lake St Ste 710, Oak Park, IL 60301. The listed phone number is (708) 848-0112.

What is Ethan Israelsohn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ethan Israelsohn enrolled in Medicare?

Yes. Ethan Israelsohn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Israelsohn accept?

Health plans from Providence Health Plan list Ethan Israelsohn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Israelsohn was last updated on August 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.