Individual provider Active NPI

Tonja Horn, L.C.S.W.

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1477914406
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018043 Issued in IL
Practice address
1111 Chicago Ave.
Ste. 222
Oak Park, IL 60302-6030
Phone
(708) 303-8516
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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 149.018043 IL Primary

Addresses

Primary practice location

1111 Chicago Ave.
Ste. 222
Oak Park, IL 60302-6030

Mailing address

1447 S. Cuyler Ave.
Berwyn, IL 60402
Phone (708) 557-1171

Other practice location 1

1447 S. Cuyler Ave.
Berwyn, IL 60402
Phone (708) 557-1171

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
149.018043ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
To Realize Health, Inc. Clinical CurrentSince Dec 9, 2019 Accepting new patients

Locations

1111 Chicago Ave
Ste 222
Oak Park, IL 60302
Phone (312) 544-9592

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1477914406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 S. CUYLER AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-557-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CHICAGO AVE.",
            "address_2": "STE. 222",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603026030",
            "telephone_number": "708-303-8516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 S. Cuyler Ave.",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "60402",
            "country_code": "US",
            "telephone_number": "708-557-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "TONJA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.