Individual provider Active NPI

Joann M. Shere, LCSW

  • Clinical Social Worker
  • Tinley Park, IL
National Provider Identifier
1215309893
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.002218 Issued in IL
Practice address
16325 Harlem Ave Ste 200
Tinley Park, IL 60477-1688
Phone
(708) 429-6999
Fax
(708) 429-6909
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 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 149.002218 IL Primary

Addresses

Primary practice location

16325 Harlem Ave Ste 200
Tinley Park, IL 60477-1688

Mailing address

16325 Harlem Ave Ste 200
Tinley Park, IL 60477-1688
Phone (708) 429-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16325 Harlem Ave
Suite 200
Tinley Park, IL 60477-1648

16325 S Harlem Ave
Suite 200
Tinley Park, IL 60477-1688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.002218ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Thriving You, PLLC CurrentSince Sep 7, 2023 Accepting new patients
Marlin C Hoover PHD PC CurrentSince Oct 23, 2015 Accepting new patients

Locations

7620 W 159th St
Ste 101
Orland Park, IL 60462
Phone (708) 232-3302

16325 Harlem Ave
Tinley Park, IL 60477
Phone (708) 403-9556

16325 Harlem Ave
Ste 200
Tinley Park, IL 60477
Phone (708) 403-9556

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1215309893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 HARLEM AVE STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771688",
            "telephone_number": "708-429-6999",
            "fax_number": "708-429-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 HARLEM AVE STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771688",
            "telephone_number": "708-429-6999",
            "fax_number": "708-429-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERE",
        "first_name": "JOANN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.002218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.