Individual provider Active NPI

Lashonda Cameron, LCSW

  • Clinical Social Worker
  • Calumet City, IL
National Provider Identifier
1497403117
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023809 Issued in IL
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

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240603003204 IL Practitioner - Clinical Social Worker 5193267375 Reassigns benefits to 1 organization
I20250313001848 IN Practitioner - Clinical Social Worker 5193267375

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
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

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

LicenseStateTypeSpecialty
149.023809ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC Single Specialty CurrentSince Mar 8, 2025 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

Verify at the official NPI Registry.