Individual provider Active NPI

Adele Human, L.C.S.W.

  • Clinical Social Worker
  • Manteno, IL
National Provider Identifier
1437573102
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-009972 Issued in IL
Practice address
698 N Locust St
Manteno, IL 60950-1229
Phone
(800) 240-7011
Fax
(815) 730-4918
NPI assigned
Feb 14, 2014
Last updated
Apr 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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 149-009972 IL Primary

Addresses

Primary practice location

698 N Locust St
Manteno, IL 60950-1229

Mailing address

203 N Ottawa St
Joliet, IL 60432-4006
Phone (815) 730-4891

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-009972ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Joliet Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1437573102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324006",
            "telephone_number": "815-730-4891",
            "fax_number": "815-730-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 N LOCUST ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501229",
            "telephone_number": "800-240-7011",
            "fax_number": "815-730-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMAN",
        "first_name": "ADELE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-009972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteno, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.