Individual provider Active NPI

Raquel Lolita Corre, MSW

  • Clinical Social Worker
  • Lincolnwood, IL
National Provider Identifier
1144308172
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000169 Issued in IL
Practice address
6611 N Tower Circle Dr
Lincolnwood, IL 60712-3217
Phone
(847) 606-9110
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 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 149000169 IL Primary

Addresses

Primary practice location

6611 N Tower Circle Dr
Lincolnwood, IL 60712-3217

Mailing address

6611 N Tower Circle Dr
Lincolnwood, IL 60712-3217
Phone (847) 606-9110

Other practice location 1

3257 N Sheffield Ave
Suite 109
Chicago, IL 60657-2270
Phone (773) 388-2636

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
I20060428000106 IL Practitioner - Clinical Social Worker 0648280164 Practice locations: Lincolnwood, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Lincolnwood, IL 60712
Phone (847) 606-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149000169ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1144308172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 N TOWER CIRCLE DR",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123217",
            "telephone_number": "847-606-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 N TOWER CIRCLE DR",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123217",
            "telephone_number": "847-606-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3257 N Sheffield Ave",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606572270",
            "country_code": "US",
            "telephone_number": "773-388-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRE",
        "first_name": "RAQUEL",
        "middle_name": "LOLITA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-25",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.