Individual provider Active NPI

Racquel Valencia Hays, LCSW

  • Clinical Social Worker
  • Mount Prospect, IL
National Provider Identifier
1447558531
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008221 Issued in IL
Practice address
500 W Central Rd
Suite 104
Mount Prospect, IL 60056-2347
Phone
(847) 912-8534
Fax
(847) 779-9519
NPI assigned
Mar 14, 2011
Last updated
Oct 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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 149008221 IL Primary

Addresses

Primary practice location

500 W Central Rd
Suite 104
Mount Prospect, IL 60056-2347

Mailing address

5710 W Gunnison St
Chicago, IL 60630-3218
Phone (847) 912-8534

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
I20110516000256 IL Practitioner - Clinical Social Worker 9739365487 Practice locations: Mount Prospect, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Central Rd
Suite 138
Mount Prospect, IL 60056-6511
Phone (847) 912-8534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149008221ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1447558531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 W GUNNISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303218",
            "telephone_number": "847-912-8534",
            "fax_number": "847-779-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "SUITE 104",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-912-8534",
            "fax_number": "847-779-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "RACQUEL",
        "middle_name": "VALENCIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.