Individual provider Active NPI

Allison J Hutner, LCSW

  • Clinical Social Worker
  • Vernon Hills, IL
National Provider Identifier
1093108300
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011237 Issued in IL
Practice address
1219 Caroline CT
Vernon Hills, IL 60061-4192
Phone
(224) 217-2435
NPI assigned
Mar 11, 2015
Last updated
Apr 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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 149011237 IL Primary

Addresses

Primary practice location

1219 Caroline CT
Vernon Hills, IL 60061-4192

Mailing address

1219 Caroline CT
Vernon Hills, IL 60061-4192
Phone (224) 217-2435

Other names 1

  • Allison J List Former 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
I20060310000087 IL Practitioner - Clinical Social Worker 9234146697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149011237ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allison J. List, LCSW, PC CurrentSince Jul 15, 2015 Accepting new patients
Midwest Palliative & Hospice Carecenter Past Accepting new patients

Organizations & group practices 2

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1093108300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 CAROLINE CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614192",
            "telephone_number": "224-217-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 CAROLINE CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614192",
            "telephone_number": "224-217-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTNER",
        "first_name": "ALLISON",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "LIST",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.