Active NPI
Maceo Edmonds
- Social Worker
- Richton Park, IL
National Provider Identifier
1225952575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.114115
- Practice address
- 4137 Sauk TRL Ste 148
Richton Park, IL 60471-1253 - Phone
- (312) 600-3612
- Fax
- (312) 847-8405
- NPI assigned
- Aug 8, 2026
- Last updated
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.114115 | IL | Primary |
Addresses
Primary practice location
4137 Sauk TRL Ste 148
Richton Park, IL 60471-1253
Mailing address
4137 Sauk TRL Ste 148
Richton Park, IL 60471-1253
Phone (630) 806-5450
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.114115 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearls of Hope LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Richton Park, IL
- NPI 1396260683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1225952575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 SAUK TRL STE 148",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "630-806-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 SAUK TRL STE 148",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "312-600-3612",
"fax_number": "312-847-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "MACEO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-08",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.114115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richton Park, IL
- Denny's Health Care Services Inc
- Developing Connections Counseling
- Jamar Dixon, LSW
- Dove Mandela (Dove Mandela Home Healthcare)
- Dove Mandela (Dove Mandela Home Health Care)
- Edwards Chiropractic Clinic (HealthSource of Richton Park)
- Edwards Chiropractic Clinic P.C
- Garth L. Edwards, MD, DC
- Elite Life Skills Coaching
- Tamia Evans
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.