Individual provider Active NPI

Mia Ja'Net Foote, LCSW

  • Clinical Social Worker
  • Park Forest, IL
National Provider Identifier
1427723790
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023516 Issued in IL
Practice address
288 Main St
Park Forest, IL 60466-2098
Phone
(312) 802-2442
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.023516 IL Primary

Addresses

Primary practice location

288 Main St
Park Forest, IL 60466-2098

Mailing address

288 Main St
Park Forest, IL 60466-2098
Phone (312) 802-2442

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240406000528 IL Practitioner - Clinical Social Worker 3678911856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

288 Main St
Park Forest, IL 60466-2098
Phone (312) 802-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.023516ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Imperceptible Healing PLLC Clinical CurrentSince Oct 30, 2023 Accepting new patients

Locations

515 Cass St
Crete, IL 60417

288 Main St
Park Forest, IL 60466
Phone (312) 802-2442

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.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1427723790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662098",
            "telephone_number": "312-802-2442",
            "fax_number": "708-810-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662098",
            "telephone_number": "312-802-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "MIA",
        "middle_name": "JA'NET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Forest, IL

Sources for this page

Verify at the official NPI Registry.