Mary E. Cherullo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013561 Issued in IL

Practice address

5000 S. 5TH Ave
Building 228
Tinley Park, IL 60414-3030

Phone

(773) 870-0251

NPI assigned

Apr 20, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Doreen a. Zaborac and Associates, Inc.Group PAC ID 6204901150, 8 clinicians

The Thriving You, PLLCGroup PAC ID 1153784699, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doreen a. Zaborac & Associates, Inc.

  • Counselor
  • Tinley Park, IL
  • NPI 1649487521
  Medicare reassignment Care Compare group NPD
• The Thriving You, PLLC

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1659085470
  Medicare reassignment Care Compare group NPD
• The University of Chicago Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033218128
  Medicare reassignment NPD
• Marlin C Hoover PHD PC

  • Clinical Psychologist
  • Tinley Park, IL
  • NPI 1871578625
  NPD
• The University of Chicago Medical Center

  • Community/Retail Pharmacy
  • Calumet City, IL
  • NPI 1255895678
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1073757134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "BUILDING 228",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S. 5TH AVE",
            "address_2": "BUILDING 228",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604143030",
            "telephone_number": "773-870-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERULLO",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Hand & Physical Rehabilitation, Inc
• Rocio Cervantes Merino, TRANSLATOR/INTERPRET
• Chaden Sbai MD SC
• Sarah Chaffee
• Andrea Chaitin-Richards, MA LCPC
• Chiariello Behavioral Health
• Chicago Ambulance Alliance
• Chicago Podiatric Surgeons P.C.
• Chico Psychological Services PLLC
• Christina Chico

• Clinical Social Worker in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.