Individual provider Active NPI

Jamilah Hale

  • Social Worker
  • Chicago, IL
National Provider Identifier
1538058110
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.114345 Issued in IL
Practice address
1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone
(312) 337-1073
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.114345 IL Primary

Addresses

Primary practice location

1276 N Clybourn Ave
Chicago, IL 60610-2003

Mailing address

3753 S Cottage Grove Ave
Chicago, IL 60653-1662
Phone (773) 268-7600

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
I20250929001438 IL Practitioner - Clinical Social Worker 2567968654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1276 N Clybourn Ave
Chicago, IL 60610-2089

1461 Crestview Rd
Redlands, CA 92374-6341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.114345ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Near North Health Service Corporation CurrentSince Jul 19, 2025 Accepting new patients
Near North Health Service Corporation CurrentSince Jul 19, 2025 Accepting new patients
Near North Health Service Corporation Current Accepting new patients

Locations

3753 S Cottage Grove Ave
Chicago, IL 60653
Phone (773) 268-7600

1276 N Clybourn Ave
Chicago, IL 60610
Phone (312) 337-1073

4259 S Berkeley Ave
Chicago, IL 60653
Phone (773) 268-7600

Organizations & group practices 3

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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1538058110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531662",
            "telephone_number": "773-268-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102003",
            "telephone_number": "312-337-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "JAMILAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.114345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.