Alicia Cameron

Individual provider Active NPI Social Worker · Minooka, IL

NPI 1528871191 · NPPES record last updated Jan 28, 2025

Key facts

NPI
1528871191
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
150105806 (IL)
Practice address
649 W Mondamin St
Minooka, IL 60447-9057
Phone
(815) 828-5407
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
150105806ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rivier Counseling Group, LLC Current
since Feb 2, 2025
Accepting new patients

Locations

649 W Mondamin St
Minooka, IL 60447
Phone (815) 467-9810

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150105806 IL Yes

Addresses

Primary practice location

649 W Mondamin St
Minooka, IL 60447-9057

Mailing address

649 W Mondamin St
Minooka, IL 60447-9057
Phone (815) 828-5407

Other providers in Minooka, IL

All providers in Minooka, IL · Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.