Individual provider Active NPI

Necole Katrese Robinsonmuhammad, LCSW, LSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1134652373
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018217 Issued in IL
Practice address
10428 S Rhodes Ave
Chicago, IL 60628-2938
Phone
(773) 447-1145
NPI assigned
Apr 5, 2017
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.011291 IL
Clinical Social Worker 1041C0700X 149.018217 IL Primary

Addresses

Primary practice location

10428 S Rhodes Ave
Chicago, IL 60628-2938

Mailing address

10428 S Rhodes Ave
Chicago, IL 60628-2938
Phone (773) 447-1145

Other names 1

  • Necole Katrese Muhammad Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.011291ILMDSocial Worker
149.018217ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1134652373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10428 S RHODES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282938",
            "telephone_number": "773-447-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10428 S RHODES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282938",
            "telephone_number": "773-447-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSONMUHAMMAD",
        "first_name": "NECOLE",
        "middle_name": "KATRESE",
        "credential": "LCSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.011291",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NECOLE",
            "last_name": "MUHAMMAD",
            "middle_name": "KATRESE",
            "credential": "LCSW, LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.