Individual provider Active NPI

Tamika Hill, LCSW

  • Clinical Social Worker
  • Evergreen Park, IL
National Provider Identifier
1447615281
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019409 Issued in IL
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

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
150101370ILMDSocial Worker
149019409ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Step by Step the Spa for Your Mind Clinical Current Accepting new patients
Ring of Hope CurrentSince Mar 3, 2024 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.

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.

Verify at the official NPI Registry.