Individual provider Active NPI

Evelyn Darlene Simmons, MSW

  • Clinical Social Worker
  • Melrose Park, IL
National Provider Identifier
1548871379
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028710 Issued in IL
Practice address
1414 Main St
Melrose Park, IL 60160-3902
Phone
(708) 681-4357
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 149028710 IL Primary

Addresses

Primary practice location

1414 Main St
Melrose Park, IL 60160-3902

Mailing address

1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-4357

Other identifiers 1

IdentifierTypeStateIssuer
362709982016MedicaidIL

Other names 1

  • Evelyn Darlene Mallory Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Evelyn.Simmons@amitahealth.org Health Information Exchange (HIE) Presence Behavioral Health
Direct Messaging Address Evelyn.Simmons@amitahealth.org Health Information Exchange (HIE)

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
I20250228002412 IL Practitioner - Clinical Social Worker 8921528316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

6800 Joliet Rd
Indian Head Park, IL 60525-4460
Phone (888) 705-8722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Behavioral Health CurrentSince Jan 24, 2025 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

6800 Joliet Rd
Indian Head Park, IL 60525
Phone (708) 246-8500

1414 Main St
Melrose Park, IL 60160
Phone (708) 681-0073

Interoperability endpoints

  • Direct secure messaging: evelyn.simmons.1@21300.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1548871379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603902",
            "telephone_number": "708-681-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603902",
            "telephone_number": "708-681-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "EVELYN",
        "middle_name": "DARLENE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362709982016",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Evelyn.Simmons@amitahealth.org",
            "affiliation": "Y",
            "affiliationName": "Presence Behavioral Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Evelyn.Simmons@amitahealth.org",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3914 S King Dr Unit 2N",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606532307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Evelyn.Simmons@amitahealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3914 S King Dr Unit 2N",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606532307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "MALLORY",
            "middle_name": "DARLENE",
            "credential": "BOWENS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.