Maceo Edmonds
Individual provider Active NPI Social Worker · Richton Park, IL
NPI 1225952575 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1225952575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.114115 (IL)
- 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearls of Hope LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.114115 | IL | Yes |
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
Other providers in Richton Park, IL
- Denny'S Health Care Services Inc
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- Jamar Dixon
- Dove Mandela
- Dove Mandela
- Edwards Chiropractic Clinic
- Edwards Chiropractic Clinic P.C
- Garth L. Edwards
- Elite Life Skills Coaching
- Faith Is Key Counseling LLC
All providers in Richton Park, IL · 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 Aug 12, 2026. 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.