Active NPI
Earnest Webb Jr., MSW PHD
- Clinical Social Worker
- Homewood, IL
National Provider Identifier
1346370418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149005899
- Practice address
- 849 Maple Ave.
903
Homewood, IL 60430-2068 - Phone
- (708) 799-5862
- Fax
- (708) 799-0138
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- 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 | 149005899 | IL | Primary |
Addresses
Primary practice location
849 Maple Ave.
903
Homewood, IL 60430-2068
Mailing address
849 Maple Ave.
903
Homewood, IL 60430-2068
Phone (708) 799-5862
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001605394 | Other | IL | BLUE CROSS BLUE SHEILD # |
| 182725 | Other | IL | VALUE OPTION PROVIDER # |
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, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19516 Northwinds Dr
Lynwood, IL 60411-8660
Phone (708) 799-5862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149005899 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| More Abundant Living Institute, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Homewood, IL
- NPI 1669602744
-
- Clinical Social Worker
- Lynwood, IL
- NPI 1902038417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1346370418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 MAPLE AVE.",
"address_2": "903",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302068",
"telephone_number": "708-799-5862",
"fax_number": "708-799-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 MAPLE AVE.",
"address_2": "903",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302068",
"telephone_number": "708-799-5862",
"fax_number": "708-799-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "EARNEST",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MSW PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149005899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD #",
"identifier": "0001605394",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION PROVIDER #",
"identifier": "182725",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.