Laquay Boone
Individual provider Active NPI Clinical Social Worker · Blue Island, IL
NPI 1023940657 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1023940657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.031868 (IL)
- Practice address
- 2856 140TH St
Blue Island, IL 60406-3346 - Phone
- (708) 925-6601
- NPI assigned
- May 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.031868 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.031868 | IL | Yes |
Addresses
Primary practice location
2856 140TH St
Blue Island, IL 60406-3346
Mailing address
2856 140TH St
Blue Island, IL 60406-3346
Other providers in Blue Island, IL
- Blue Island Medical SC
- Blue Island Nursing Home
- Blue Island Pathology LTD
- Blue Island Radiology Consultants
- Blue Island Smiles PC
- Daniel Allen Boston
- Andrea R. Boyd
- James Branch
- Ann Brekke
- Bright Smile Family Dental
All providers in Blue Island, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.