NPIMap

Abby G Barrett, LSW

Individual provider Active NPI Clinical Social Worker · Paris, IL

NPI 1053785675 · NPPES record last updated Jul 27, 2022

Key facts

NPI
1053785675
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
150101280 (IL)
Practice address
727 E Court St
Paris, IL 61944-2460
Phone
(217) 465-8411
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Moon Senior Counseling of Illinois LLC (30 clinicians)
Hospital and Medical Foundation of Paris Inc (123 clinicians)

Practice addresses (Care Compare)

10204 Bode St
Suite C
Plainfield, IL 60585-9813
Phone (630) 896-7160

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210920000049 IL Practitioner - Clinical Social Worker 0547667594 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
150101280ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. Current
since Aug 1, 2021		 Accepting new patients
Blue Moon Senior Counseling of Illinois LLC Clinical Current
since Jul 24, 2023		 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current
since Aug 1, 2021		 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Social Worker Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Locations

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

Interoperability endpoints

  • Direct secure messaging: abby.barrett.1@11356.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150101280 IL
Clinical Social Worker 1041C0700X 150101280 IL Yes

Addresses

Primary practice location

727 E Court St
Paris, IL 61944-2460

Mailing address

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

Other names

  • Abby G Hainds Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2022.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1053785675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "ABBY",
        "middle_name": "G",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150101280",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150101280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "HAINDS",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paris, IL

All providers in Paris, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.