Active NPI
Shawna Sapp
- Clinical Social Worker
- South Holland, IL
National Provider Identifier
1619356540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.018990
- Practice address
- 16107 Lasalle Street
South Holland, IL 60473 - Phone
- (800) 361-6880
- Fax
- (708) 845-5505
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007741A | IN | |
| Clinical Social Worker | 1041C0700X | 149.018990 | IL | Primary |
Addresses
Primary practice location
16107 Lasalle Street
South Holland, IL 60473
Mailing address
15127 S 73Rd Ave
Suite G
Orland Park, IL 60462-4398
Phone (800) 361-6880
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 |
|---|---|---|---|
| 149.018990 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1619356540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15127 S 73RD AVE",
"address_2": "SUITE G",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624398",
"telephone_number": "800-361-6880",
"fax_number": "708-845-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16107 LASALLE STREET",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "60473",
"telephone_number": "800-361-6880",
"fax_number": "708-845-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPP",
"first_name": "SHAWNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007741A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.018990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.