Active NPI
Debra Renee Horan, MSW
- Clinical Social Worker
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.011934
- Practice address
- 10735 S Cicero Ave Ste 100
Oak Lawn, IL 60453-6210 - Phone
- (708) 636-2211
- Fax
- (708) 636-5552
- NPI assigned
- May 31, 2007
- Last updated
- Jul 3, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.011934 | IL | Primary |
Addresses
Primary practice location
10735 S Cicero Ave Ste 100
Oak Lawn, IL 60453-6210
Mailing address
10735 S Cicero Ave Ste 100
Oak Lawn, IL 60453-6210
Phone (708) 636-2211
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10735 S Cicero Ave
Suite 100
Oak Lawn, IL 60453-6210
Phone (708) 636-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.011934 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sudhir M Gokhale MD SC | Clinical | Current | Accepting new patients |
Locations
10522 S Cicero Ave
Ste 202
Oak Lawn, IL 60453
Phone (708) 636-2211
10735 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 581-5866
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1265634521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10735 S CICERO AVE STE 100",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536210",
"telephone_number": "708-636-2211",
"fax_number": "708-636-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10735 S CICERO AVE STE 100",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536210",
"telephone_number": "708-636-2211",
"fax_number": "708-636-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORAN",
"first_name": "DEBRA",
"middle_name": "RENEE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.011934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.