Individual provider Active NPI

Robert Emil Thurman Jr., LCSW

  • Clinical Social Worker
  • Hazel Crest, IL
National Provider Identifier
1205049194
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-007753 Issued in IL
Practice address
3330 W 177TH St Ste 1F
Hazel Crest, IL 60429-2186
Phone
(646) 844-8999
Fax
(773) 799-1889
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 149-007753 IL Primary

Addresses

Primary practice location

3330 W 177TH St Ste 1F
Hazel Crest, IL 60429-2186

Mailing address

18303 Robin LN
Homewood, IL 60430-2856
Phone (646) 844-8999

Other identifiers 8

IdentifierTypeStateIssuer
12278316OtherILMULTIPLAN
1634964OtherILBLUE CROSS BLUE SHIELD IL
521834OtherILVALUEOPTIONS
55900COtherILPSYCHEALTH
316653OtherILMHN MANAGED HEALTH NETWOR
784444000OtherILMAGELLAN
T9190OtherILAPS
9367411OtherILPHCS PRIVATE HEALTH CARE

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
I20050308000109 IL Practitioner - Clinical Social Worker 2567416183 Practice locations: Hazel Crest, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3330 W 177TH St
Suite 1F
Hazel Crest, IL 60429-2186
Phone (773) 653-9467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-007753ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Family and Community Resources PC Current Accepting new patients
A Ok Testing LLC PastSince Mar 27, 2022 Accepting new patients
Access Counseling Center Clinical Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1205049194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 ROBIN LN",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302856",
            "telephone_number": "646-844-8999",
            "fax_number": "312-575-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST STE 1F",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292186",
            "telephone_number": "646-844-8999",
            "fax_number": "773-799-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "ROBERT",
        "middle_name": "EMIL",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12278316",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "1634964",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "521834",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHEALTH",
            "identifier": "55900C",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN MANAGED HEALTH NETWOR",
            "identifier": "316653",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "784444000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "T9190",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PRIVATE HEALTH CARE",
            "identifier": "9367411",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.