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MS. MARAL BINNEBOSE MSW
NPI 1902672405
Social Worker in Lake Villa, IL

Active since November 27, 2023PECOS Enrolled
600 W GRAND AVE, LAKE VILLA, IL 60046(847) 627-1181 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Maral Binnebose Msw NPPES

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

MS. MARAL BINNEBOSE MSW (NPI 1902672405) is an individual social worker in Lake Villa, Illinois, licensed in Illinois (150.108813) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902672405
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. MARAL BINNEBOSECredential: MSW
Location Address600 W GRAND AVELake Villa, IL 60046-8034
Mailing Address600 W Grand AveLake Villa, IL 60046-8034 · (847) 627-1181
Phone(847) 627-1181
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1902672405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150.108813
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
600 W GRAND AVE, Lake Villa, IL 60046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Maral Binnebose Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749775450
PECOS Enrollment IDI20251219002357
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.

Medicare Billing Reassignment

Medicare enrollment records show Maral Binnebose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Lake
2.7 mi
Federally Qualified Health Center (FQHC)
224 W CLARENDON DR
Round Lake Beach, IL 60073
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
NPI 1750310884 (847) 984-5100

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

Other Providers at the Same Location NPPES 3

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

SHANIQUA BLACKMAN
Counselor (Mental Health)
600 W GRAND AVE
LAKE VILLA, IL 60046
Lake County (847) 245-6276
ALLENDALE ASSOCIATION
Residential Treatment Facility, Emotionally Disturbed Children
600 W GRAND AVE
LAKE VILLA, IL 60046
Lake County (847) 356-2351
KELLY NICHOLE ECKHART APRN
Nurse Practitioner (Psychiatric/Mental Health)
600 W GRAND AVE
LAKE VILLA, IL 60046
Lake County (847) 245-6262

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 Maral Binnebose's NPI number?

The NPI number for Maral Binnebose is 1902672405. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Maral Binnebose located?

Maral Binnebose practices at 600 W Grand Ave, Lake Villa, IL 60046. The listed phone number is (847) 627-1181.

What is Maral Binnebose's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Maral Binnebose enrolled in Medicare?

Yes. Maral Binnebose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maral Binnebose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maral Binnebose reassigns Medicare benefits to County Of Lake (Round Lake Beach, IL). The 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 Maral Binnebose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maral Binnebose was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.