Individual provider Active NPI

Valerie Malone-Pitts

  • Clinical Social Worker
  • Matteson, IL
National Provider Identifier
1457752826
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016110 Issued in IL
Practice address
5811 Allemong Dr
Matteson, IL 60443-1107
Phone
(312) 804-2179
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 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 149.016110 IL Primary

Addresses

Primary practice location

5811 Allemong Dr
Matteson, IL 60443-1107

Mailing address

5811 Allemong Dr
Matteson, IL 60443-1107
Phone (312) 804-2179

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
I20141021002832 IL Practitioner - Clinical Social Worker 5890916563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecore Rehab and Counseling Services SCGroup PAC ID 6800037771, 4 clinicians

Practice addresses (Care Compare)

11536 183Rd PL
Orland Park, IL 60467-9493
Phone (708) 960-4023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016110ILMDClinical Social Worker

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1457752826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 ALLEMONG DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431107",
            "telephone_number": "312-804-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 ALLEMONG DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431107",
            "telephone_number": "312-804-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE-PITTS",
        "first_name": "VALERIE",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.