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Teresa Eubanks , LCSW

Social Worker - Clinical β€’ Normal, IL

Active NPI 1124727011 Individual Practitioner Female Practitioner
Practice location in NPPES

1304 Franklin Ave
Normal, IL 617613558

Call 3092685334 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1304 Franklin Ave

Normal, IL 617613558

Telephone 3092685334
Organization at the Same NPPES Address or Phone
Carle Bromenn Medical Center Facility NPI 1962489815

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Teresa Eubanks has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Teresa Eubanks as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Normal and Illinois

55 active clinicians are listed under Social Worker - Clinical with a practice address in Normal, IL (13,643 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Normal

0% of these 55 clinicians have the CMS telehealth indicator.

16.4% of these 55 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-19
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES IL 149.019749

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20230928003015

Enrollment State Jurisdiction

IL

PECOS Control ID

1850745522

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

33 listed
Dr. Dana Altenburger , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003067661

Doctor of Medicine (M.D.)

NPI 1154308047

Registered Pharmacist

Dr. Girishkumar Dhorajia , MD

Psychiatry & Neurology - Psychiatry

NPI 1003049966

Doctor of Medicine (M.D.)

Dr. April Dickenson , MD

Radiology - Diagnostic Radiology

NPI 1417127457

Doctor of Medicine (M.D.)

Dr. Karen Gaber-Patel , DO

Emergency Medicine

NPI 1962681569

Doctor of Osteopathic Medicine (D.O.)

Nicholas Gurganious , PA-C

Physician Assistant

NPI 1801358627

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address February 21, 2024

Registered at 611 W PARK ST, FAPC, URBANA, IL 618012500

βœ…
NPI Profile Active February 28, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 28, 2023

Registered at 1304 FRANKLIN AVE, NORMAL, IL 617613558 (Tel: 3092685334)

πŸ“
Business Mailing Address (Initial Record) February 28, 2023

Registered at 1304 FRANKLIN AVE, NORMAL, IL 617613558 (Tel: 3092685334)

πŸ‘€
Provider Name / Credentials (Initial Record) February 28, 2023

Recorded as TERESA EUBANKS, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Social Worker (license number reported to NPPES: IL 149.019749)

🟒
Initial NPI Registration & Enumeration February 28, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124727011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2023
Last Update: February 21, 2024
Sole Proprietor: No

Other Social Worker - Clinicals in Normal

All Social Worker - Clinicals in Normal

Mailing Address

611 W Park St, Fapc

Urbana, IL 618012500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.