Individual provider Active NPI

Taryn B Hancock, MSW, LSW

  • Social Worker
  • Hoffman Estates, IL
National Provider Identifier
1386321578
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150110857 Issued in IL
Practice address
2815 Forbs Ave Ste 107
Hoffman Estates, IL 60192-3731
Phone
(847) 986-8010
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 150110857 IL Primary

Addresses

Primary practice location

2815 Forbs Ave Ste 107
Hoffman Estates, IL 60192-3731

Mailing address

2815 Forbs Ave Ste 107
Hoffman Estates, IL 60192-3731
Phone (847) 986-8010

Other practice location 1

1964 Columbus St
Ottawa, IL 61350-1575
Phone (815) 416-8103

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

LicenseStateTypeSpecialty
150110857ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1386321578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVE STE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923731",
            "telephone_number": "847-986-8010",
            "fax_number": "847-986-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVE STE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923731",
            "telephone_number": "847-986-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1964 Columbus St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501575",
            "country_code": "US",
            "telephone_number": "815-416-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "TARYN",
        "middle_name": "B",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150110857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.