Active NPI
Tamika Hill, LCSW
- Clinical Social Worker
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149019409
- Practice address
- 9730 S Western Ave Ste 234
Evergreen Park, IL 60805-2761 - Phone
- (708) 800-1138
- Fax
- (708) 481-9032
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149019409 | IL | Primary |
| Social Worker | 104100000X | 150101370 | IL |
Addresses
Primary practice location
9730 S Western Ave Ste 234
Evergreen Park, IL 60805-2761
Mailing address
9730 S Western Ave Ste 234
Evergreen Park, IL 60805-2761
Phone (708) 800-1138
Other practice location 1
288 Main St
Park Forest, IL 60466-2098
Phone (708) 800-1138
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150101370 | IL | MD | Social Worker |
| 149019409 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step by Step the Spa for Your Mind | Clinical | Current | Accepting new patients |
| Ring of Hope | Current | Accepting new patients |
Locations
7445 S South Chicago Ave
Chicago, IL 60619
Phone (773) 966-7260
9730 S Western Ave
Ste 234
Evergreen Park, IL 60805
Phone (708) 703-8287
288 Main St
Park Forest, IL 60466
Phone (312) 802-2442
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1205693843
-
- Clinical Social Worker
- Evergreen Park, IL
- NPI 1891448726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1447615281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVE STE 234",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052761",
"telephone_number": "708-800-1138",
"fax_number": "708-481-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVE STE 234",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052761",
"telephone_number": "708-800-1138",
"fax_number": "708-481-9032"
}
],
"practiceLocations": [
{
"address_1": "288 Main St",
"address_purpose": "LOCATION",
"city": "Park Forest",
"state": "IL",
"postal_code": "604662098",
"country_code": "US",
"telephone_number": "708-800-1138",
"fax_number": "708-481-9032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "TAMIKA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149019409",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150101370",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.