Active NPI
Bayaan Thomas, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1598538365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150111948
- Practice address
- 2744 W 63Rd St
Chicago, IL 60629-2343 - Phone
- (773) 434-4626
- NPI assigned
- Nov 3, 2023
- 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 | 150111948 | IL | Primary |
Addresses
Primary practice location
2744 W 63Rd St
Chicago, IL 60629-2343
Mailing address
9909 Ridgeland Ave Apt 1S
Oak Lawn, IL 60453-3777
Phone (608) 698-3988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150111948 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner-City Muslim Action Network | Past | Accepting new patients | |
| Inner-City Muslim Action Network | Past | Accepting new patients | |
| Inner-City Muslim Action Network | Past | Accepting new patients | |
| Inner-City Muslim Action Network | Past | Accepting new patients | |
| Inner-City Muslim Action Network | Past | Accepting new patients |
Interoperability endpoints
- bayaan.thomas.1@12349.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1003244567
-
dba IMAN Mobile Health Unit
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1073106621
-
dba Iman
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1386137925
-
dba IMAN Youth and Family Health Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1396238937
-
dba IMAN Youth and Family Health Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1437672433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1598538365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9909 RIDGELAND AVE APT 1S",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533777",
"telephone_number": "608-698-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2744 W 63RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606292343",
"telephone_number": "773-434-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BAYAAN",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150111948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.