Individual provider Active NPI

Micah Layman, LSW

  • Social Worker
  • Oak Park, IL
National Provider Identifier
1366122020
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.109129 Issued in IL
Practice address
215 Harrison St
Oak Park, IL 60304-1533
Phone
(708) 628-8000
NPI assigned
Jul 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.109129 IL Primary

Addresses

Primary practice location

215 Harrison St
Oak Park, IL 60304-1533

Mailing address

215 Harrison St
Oak Park, IL 60304-1533
Phone (708) 628-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.109129ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Micah Layman PLLC Current Accepting new patients
Mosaic Counseling and Wellness LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

215 Harrison St
Oak Park, IL 60304
Phone (708) 628-8000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1366122020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041533",
            "telephone_number": "708-628-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041533",
            "telephone_number": "708-628-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMAN",
        "first_name": "MICAH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.109129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.