Sophia A Register, LCSW
Individual provider Active NPI Clinical Social Worker · Hines, IL
NPI 1073785481 · NPPES record last updated Mar 31, 2008
Key facts
- NPI
- 1073785481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 5000 S 5TH Ave
Hines, IL 60141-3030 - Phone
- (708) 202-5563
- NPI assigned
- Mar 25, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 149.012831 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Yes |
Addresses
Primary practice location
5000 S 5TH Ave
Hines, IL 60141-3030
Mailing address
5000 S 5TH Ave
Hines, IL 60141-3030
Phone (708) 202-5563
Other providers in Hines, IL
- Donizetti Razo
- D'Arcy Lynn Rea
- Narayan Kaswaram Reddy
- Rebecca Arlena Reese
- Karen L Reeves
- Valerie Ann Remes
- Stephanie Marie Renno
- Danielle Repika
- Lorena Reyes
- Sandra Irene Reynertson
All providers in Hines, 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 Mar 31, 2008. 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.