Individual provider Active NPI

Vicki S Homola-Meckes, MSW, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1083163497
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017685 Issued in IL
Practice address
2030 E Algonquin Rd Ste 401
Schaumburg, IL 60173-4159
Phone
(224) 425-9657
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017685 IL Primary

Addresses

Primary practice location

2030 E Algonquin Rd Ste 401
Schaumburg, IL 60173-4159

Mailing address

750 S Warrington Rd
Des Plaines, IL 60016-3152
Phone (224) 425-9657

Other practice location 1

701 Lee St Ste 920
Des Plaines, IL 60016-4557
Phone (224) 425-9657

Other names 1

  • Ms. Vicki Homola Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180702002698 IL Practitioner - Clinical Social Worker 8729334982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jusufi Therapeutic Services IncGroup PAC ID 2668866575, 2 clinicians

Practice addresses (Care Compare)

2030 E Algonquin Rd
Suite 401
Schaumburg, IL 60173-4159
Phone (847) 338-8486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017685ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jusufi Therapeutic Services Inc Clinical CurrentSince Nov 11, 2021 Accepting new patients

Locations

2030 E Algonquin Rd
Ste 401
Schaumburg, IL 60173
Phone (847) 338-8486

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1083163497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S WARRINGTON RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163152",
            "telephone_number": "224-425-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E ALGONQUIN RD STE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734159",
            "telephone_number": "224-425-9657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Lee St Ste 920",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600164557",
            "country_code": "US",
            "telephone_number": "224-425-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMOLA-MECKES",
        "first_name": "VICKI",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2022-02-11",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "HOMOLA",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.