Individual provider Active NPI

Alissa Haight

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1508342874
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022122 Issued in IL
Practice address
301 E State St
Rockford, IL 61104-1012
Phone
(815) 668-7810
Fax
(815) 714-6219
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 149022122 IL Primary

Addresses

Primary practice location

301 E State St
Rockford, IL 61104-1012

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515

Other practice location 1

8616 Northern Ave
Rockford, IL 61107-5309
Phone (815) 332-8003

Other practice location 2

4841 SE 14th St
Des Moines, IA 50320-1616
Phone (515) 415-4081

Other practice location 3

3451 Union Blvd
Saint Louis, MO 63115-1142
Phone (314) 888-0970

Other names 1

  • Alissa Millard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, MO, KS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200501000313 IL Practitioner - Clinical Social Worker 5496185662 Reassigns benefits to 1 organization
I20231028000177 IA Practitioner - Clinical Social Worker 5496185662 Reassigns benefits to 1 organization
I20231106000247 MO Practitioner - Clinical Social Worker 5496185662 Reassigns benefits to 1 organization
I20231130002379 KS Practitioner - Clinical Social Worker 5496185662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

301 E State St
Rockford, IL 61104-1012
Phone (815) 668-7810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149022122ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Missouri, LLC Clinical CurrentSince Sep 30, 2023 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Mar 30, 2020 Accepting new patients
Oak Street Health Physicians Group of Iowa LLC CurrentSince Nov 27, 2023 Accepting new patients
Oak Street Health Physicians Group of Kansas LLC Clinical CurrentSince Sep 30, 2023 Accepting new patients

Locations

4841 SE 14th St
Des Moines, IA 50320
Phone (515) 287-2115

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

301 E State St
Rockford, IL 61104
Phone (815) 201-1970

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

3451 Union Blvd
Saint Louis, MO 63115
Phone (314) 390-9890

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

Organizations & group practices 4

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1508342874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041012",
            "telephone_number": "815-668-7810",
            "fax_number": "815-714-6219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8616 Northern Ave",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075309",
            "country_code": "US",
            "telephone_number": "815-332-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4841 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503201616",
            "country_code": "US",
            "telephone_number": "515-415-4081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631151142",
            "country_code": "US",
            "telephone_number": "314-888-0970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "MILLARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.