Individual provider Active NPI

Hope Green, MSW, LCSW

  • Clinical Social Worker
  • Markham, IL
National Provider Identifier
1508995804
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007169 Issued in IL
Practice address
16643 Kedzie Ave
Suite 102
Markham, IL 60428-5512
Phone
(708) 299-4378
NPI assigned
Mar 4, 2007
Last updated
Apr 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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 149007169 IL Primary

Addresses

Primary practice location

16643 Kedzie Ave
Suite 102
Markham, IL 60428-5512

Mailing address

2703 Turtle Creek Dr
Hazel Crest, IL 60429-2156
Phone (708) 299-4378

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130215000237 IL Practitioner - Clinical Social Worker 2860646072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecore Rehab and Counseling Services SCGroup PAC ID 6800037771, 4 clinicians

Practice addresses (Care Compare)

11536 183Rd PL
Orland Park, IL 60467-9493
Phone (708) 960-4023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149007169ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecore Rehab and Counseling Services SC CurrentSince May 1, 2015 Accepting new patients

Locations

11536 183rd Pl
Orland Park, IL 60467
Phone (708) 960-4023

8051 186th St
Tinley Park, IL 60487
Phone (708) 342-7076

8051 186th St
Ste A
Tinley Park, IL 60487
Phone (708) 342-7076

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1508995804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 TURTLE CREEK DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292156",
            "telephone_number": "708-299-4378",
            "fax_number": "708-310-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16643 KEDZIE AVE",
            "address_2": "SUITE 102",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604285512",
            "telephone_number": "708-299-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Markham, IL

Sources for this page

Verify at the official NPI Registry.