Active NPI
Linda Ann Hogan, LCSW
- Social Worker
- Evanston, IL
National Provider Identifier
1558356964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149003875
- Practice address
- 1830 Sherman Ave
Ste 303
Evanston, IL 60201-3798 - Phone
- (847) 491-1399
- NPI assigned
- Sep 13, 2005
- Last updated
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149003875 | IL | Primary |
Addresses
Primary practice location
1830 Sherman Ave
Ste 303
Evanston, IL 60201-3798
Mailing address
6157 N Sheridan Rd
Apt 3K
Chicago, IL 60660-2770
Phone (773) 764-3170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001626774 | Other | IL | BCBS OF IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110131000783 | IL | Practitioner - Clinical Social Worker | 5597944900 | Practice locations: Evanston, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1830 Sherman Ave
Suite 303
Evanston, IL 60201-3772
Phone (847) 491-1399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149003875 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1558356964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6157 N SHERIDAN RD",
"address_2": "APT 3K",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606602770",
"telephone_number": "773-764-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 SHERMAN AVE",
"address_2": "STE 303",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013798",
"telephone_number": "847-491-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "LINDA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149003875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "0001626774",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.