Tami Lynn Jimenez, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

149012684 Issued in IL

Practice address

6441 Pershing Rd Apt 202
Stickney, IL 60402-4184

Phone

(708) 749-4306

NPI assigned

Jan 31, 2008

Last updated

Aug 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helping Hand CenterGroup PAC ID 7911039268, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Helping Hand Center

  • Developmentally Disabled Services Day Training Agency
  • Countryside, IL
  • NPI 1356560890
  NPD

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1487832572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 PERSHING RD APT 202",
            "city": "STICKNEY",
            "state": "IL",
            "postal_code": "604024184",
            "telephone_number": "708-749-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 PERSHING RD APT 202",
            "city": "STICKNEY",
            "state": "IL",
            "postal_code": "604024184",
            "telephone_number": "708-749-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "TAMI",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149012684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinzy Kanisha Frizzle, O.D.
• Desiree Gonzalez
• Jessenia Gonzalez
• Cristopher Guzman, PHARMD
• Emily Jacobs, MD
• Thomas J Mack, DPM
• Daniel John Maturo, D.D.S.
• Milan Meghpara, PHARMD
• Manuel E Murillo Ruiz, LMT
• Scott Robert Musil, DDS

• Social Worker in Stickney, IL
• Providers in Stickney, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.