Active NPI
Marissa Lynn Latko
- Clinical Social Worker
- Mokena, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 11869 Golden Gate Dr
Mokena, IL 60448-2027 - Phone
- (708) 277-4121
- NPI assigned
- Aug 1, 2018
- 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 | Primary |
Addresses
Primary practice location
11869 Golden Gate Dr
Mokena, IL 60448-2027
Mailing address
11869 Golden Gate Dr
Mokena, IL 60448-2027
Phone (708) 277-4121
Other practice location 1
1010 Lake St
Oak Park, IL 60301-1147
Phone (630) 428-7890
Other practice location 2
18425 W Creek Dr Ste D
Tinley Park, IL 60477-6768
Phone (800) 361-6880
Other practice location 3
15127 S 73rd Ave Ste G
Orland Park, IL 60462-3425
Phone (800) 361-6880
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11869 Golden Gate Dr
Mokena, IL 60448-2027
Phone (708) 227-4121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Clinical | Current | Accepting new patients |
| Hope in Healing Therapy, PLLC | Clinical | Current | Accepting new patients |
| Psychology Specialists LTD | Clinical | Past | Accepting new patients |
| Chicago Christian Counseling Center Inc | Clinical | Past | Accepting new patients |
Locations
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
581 Elm Pl
Ste 110
Highland Park, IL 60035
Phone (847) 861-7771
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
15303 S 94th Ave
Ste 250
Orland Park, IL 60462
Phone (708) 505-5205
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Mokena, IL
- NPI 1639956774
-
- Clinical Social Worker
- Orland Park, IL
- NPI 1083664510
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1285112359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11869 GOLDEN GATE DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "604482027",
"telephone_number": "708-277-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11869 GOLDEN GATE DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "604482027",
"telephone_number": "708-277-4121"
}
],
"practiceLocations": [
{
"address_1": "1010 Lake St",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603011147",
"country_code": "US",
"telephone_number": "630-428-7890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18425 W Creek Dr Ste D",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604776768",
"country_code": "US",
"telephone_number": "800-361-6880",
"fax_number": "708-845-5505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15127 S 73rd Ave Ste G",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604623425",
"country_code": "US",
"telephone_number": "800-361-6880",
"fax_number": "708-845-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATKO",
"first_name": "MARISSA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.