Loretta Echols

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026795 Issued in IL

Practice address

848 Destiny Dr
Matteson, IL 60443-3027

Phone

(708) 829-3326

NPI assigned

Dec 14, 2021

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Loretta Nicholson Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 7TH Stone Wellness

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1700760469
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, IL

  Medicare reassignment NPD
• Social Service Direct LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orland Park, IL
  • NPI 1356039895
  NPD Authorized official
• Tides Mental Health of Il, PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1154014116
  NPD (past)

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1386303600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 DESTINY DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433027",
            "telephone_number": "708-829-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 DESTINY DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433027",
            "telephone_number": "708-829-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "LORETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTA",
            "last_name": "NICHOLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Derell Durr, DMD
• Dyann Inc
• Christienne Dyslin, PHD
• E & C Transportation
• Patrick Easley, MA, LPC
• Angela Eddings, CPT, CPI, CBHS, CCMA
• Edgebrook Radiology Management Services, Inc (Matteson MRI)
• Michele Lynnette Edwards, LCSW
• Julius Jarmar Eggleston, DPT
• Brown Ehis

• Clinical Social Worker in Matteson, IL
• Providers in Matteson, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.