Active NPI
Chanell Hill
- Social Worker
- Chicago, IL
National Provider Identifier
1275007346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 68639
- Practice address
- 1010 E 79TH St
Chicago, IL 60619-4442 - Phone
- (800) 361-6880
- NPI assigned
- Jan 11, 2019
- 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 | 68639 | TX | Primary |
Addresses
Primary practice location
1010 E 79TH St
Chicago, IL 60619-4442
Mailing address
1221 W Ben White Blvd
Ste 210a
Austin, TX 78704-7182
Phone (512) 960-4533
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68639 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Christian Counseling Center Inc | 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.
-
- Clinical Social Worker
- Orland Park, IL
- NPI 1083664510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1275007346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 W BEN WHITE BLVD",
"address_2": "STE 210A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047182",
"telephone_number": "512-960-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E 79TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606194442",
"telephone_number": "800-361-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "CHANELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "68639",
"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 Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.