Active NPI
Atrous Hazel Ausmus, LSW
- Social Worker
- Bradley, IL
National Provider Identifier
1336824028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.106045
- Practice address
- 525 E North St Ste B
Bradley, IL 60915-1186 - Phone
- (815) 933-0667
- NPI assigned
- Jun 20, 2023
- Last updated
- Jul 14, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.106045 | IL | Primary |
Addresses
Primary practice location
525 E North St Ste B
Bradley, IL 60915-1186
Mailing address
525 E North St
Bradley, IL 60915-1185
Phone (888) 870-1775
Other names 1
- Atrous Hazel Lollar
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 |
|---|---|---|---|
| 150.106045 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | 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.
-
- Child & Adolescent Psychiatry Physician
- Cambridge, MA
- NPI 1912633975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1336824028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E NORTH ST",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609151185",
"telephone_number": "888-870-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E NORTH ST STE B",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609151186",
"telephone_number": "815-933-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSMUS",
"first_name": "ATROUS",
"middle_name": "HAZEL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.106045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ATROUS",
"last_name": "LOLLAR",
"middle_name": "HAZEL",
"code": "1",
"type": "Former Name"
}
]
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- Athletic & Therapeutic Institute of Bourbonnais, LLC (ATI Physical Therapy Bradley Hand)
- Andrea Dunn Baldwin, LCSW
- Sarah P Balke, SLPA
- Krista Rose Barton, FNP-BC
- Kimberly Ann Beaupre, OTR/L
- Bee Smart Transport
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.