Active NPI
Paris Simone Hearon, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1245987593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.105518
- Practice address
- 700 N Sacramento Blvd Ste 201
Chicago, IL 60612-1058 - Phone
- (224) 213-1577
- NPI assigned
- Mar 7, 2022
- Last updated
- Mar 7, 2022
- Sex
- Female
- 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 | 150.105518 | IL | Primary |
Addresses
Primary practice location
700 N Sacramento Blvd Ste 201
Chicago, IL 60612-1058
Mailing address
17757 Paxton Ave
Lansing, IL 60438-1572
Phone (708) 351-6918
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 |
|---|---|---|---|
| 150.105518 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1245987593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17757 PAXTON AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604381572",
"telephone_number": "708-351-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N SACRAMENTO BLVD STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121058",
"telephone_number": "224-213-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARON",
"first_name": "PARIS",
"middle_name": "SIMONE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.105518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.