Active NPI
Lashonda Cameron, LCSW
- Clinical Social Worker
- Calumet City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.023809
- Practice address
- 1410 Forest Ave
Calumet City, IL 60409-6048 - Phone
- (773) 259-6659
- NPI assigned
- Mar 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.023809 | IL | Primary |
Addresses
Primary practice location
1410 Forest Ave
Calumet City, IL 60409-6048
Mailing address
1410 Forest Ave
Calumet City, IL 60409-6048
Phone (773) 259-6659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2649 E 75TH St
Chicago, IL 60649-3835
Phone (773) 356-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.023809 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Healthcare LLC | Single Specialty | Current | Accepting new patients |
Locations
111 W Jackson Blvd
Chicago, IL 60604
Phone (312) 251-2300
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300
2201 Main St
Evanston, IL 60202
Phone (847) 905-3000
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": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1497403117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 FOREST AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604096048",
"telephone_number": "773-259-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 FOREST AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604096048",
"telephone_number": "773-259-6659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "LASHONDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.023809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.