Bernadette Muloski – Social Worker in Worth, IL

Key facts

NPI: 1386093433
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
Practice address: 7000 W. 111TH St.
Worth, IL 60482
Phone: (708) 586-1366
Fax: (708) 430-0502
NPI assigned: Jun 9, 2016
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Catholic Charities of the Archdiocese of Chicago Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL · NPI 1669583001

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Catholic Charities of the Archdiocese of Chicago		Past since Nov 16, 2016	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X			Yes

Addresses

Primary practice location

7000 W. 111TH St.
Worth, IL 60482

Mailing address

7000 W. 111TH St.
Worth, IL 60482
Phone (708) 586-1366

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 9, 2016.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1386093433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W. 111TH ST.",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "60482",
            "telephone_number": "708-586-1366",
            "fax_number": "708-430-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W. 111TH ST.",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "60482",
            "telephone_number": "708-586-1366",
            "fax_number": "708-430-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULOSKI",
        "first_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worth, IL

All providers in Worth, IL · Social Worker in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.