ETHAN ISRAELSOHN, LCSW, LLC
NPI 1528118072
Social Worker - Clinical in Oak Park, IL

Active since January 10, 2007
715 LAKE ST, SUITE 710, OAK PARK, IL 60301(708) 848-0112(708) 386-4211 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ethan Israelsohn, Lcsw, Llc NPPES

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

ETHAN ISRAELSOHN, LCSW, LLC (NPI 1528118072) is a healthcare organization registered as a clinical in Oak Park, Illinois and active in the NPI registry since January 2007. The organization lists Ethan Israelsohn, Owner, as its authorized official.

NPPES Registry Identity

NPI1528118072
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameETHAN ISRAELSOHN, LCSW, LLC
Location Address715 LAKE ST, SUITE 710Oak Park, IL 60301-1422
Mailing Address518 Highland AveOak Park, IL 60304-1523 · (708) 848-0112 · Fax (708) 386-4211
Fax(708) 386-4211
Organization SubpartNo
Authorized OfficialEthan IsraelsohnOwner · (708) 848-0112
Enumeration DateJanuary 10, 2007
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1528118072 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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Israelsohn, Lcsw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ethan Israelsohn, Lcsw, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1265504864
715 LAKE ST STE 710
Oak Park, IL 60301
(708) 848-0112
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, Lcsw, LLC's NPI number?

The NPI number for Ethan Israelsohn, Lcsw, LLC is 1528118072. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Ethan Israelsohn, Lcsw, LLC located?

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

What is Ethan Israelsohn, Lcsw, LLC's specialty?

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

Is Ethan Israelsohn, Lcsw, LLC enrolled in Medicare?

Yes. Ethan Israelsohn, Lcsw, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ethan Israelsohn, Lcsw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Ethan Israelsohn, Lcsw, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Israelsohn, Lcsw, LLC was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.