Christina Marie Mills – Clinical Social Worker

Key facts

NPI: 1194184655
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 149.014861 (IL)
Practice address: 1261 Il Route 38
Nachusa, IL 61057
Phone: (815) 284-7796
Fax: (815) 284-6162
NPI assigned: Feb 12, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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

Lutheran Social Services of Illinois Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL · NPI 1063637684

NPD (past) CLINICAL
Lutheran Social Services of Illinois Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL · NPI 1144613746

NPD (past) CLINICAL
Lutheran Social Services of Illinois Mental Health Clinic/Center (Including Community Mental Health Center) · Nachusa, IL · NPI 1326216151

NPD (past)

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
149.014861	IL	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Lutheran Social Services of Illinois		Past	Accepting new patients
Lutheran Social Services of Illinois	Clinical	Past	Accepting new patients
Lutheran Social Services of Illinois	Clinical	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	149.014861	IL	Yes

Addresses

Primary practice location

1261 Il Route 38
Nachusa, IL 61057

Mailing address

1261 Il Route 38
Nachusa, IL 61057
Phone (815) 284-7796

Other providers in Nachusa, IL

All providers in Nachusa, 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 Feb 12, 2016. 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.

Verify at the official NPI Registry.