Individual provider Active NPI

Lechae Nialah Mottley, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1629600036
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.103816 Issued in IL
Practice address
180 N Michigan Ave Ste 1025-C
Chicago, IL 60601-7401
Phone
(773) 417-9349
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 150.103816 IL Primary

Addresses

Primary practice location

180 N Michigan Ave Ste 1025-C
Chicago, IL 60601-7401

Mailing address

21331 Brittany Dr
Frankfort, IL 60423-8887
Phone (708) 712-4106

Other practice location 1

33 W Higgins Rd Ste 3100
South Barrington, IL 60010-9354
Phone (773) 672-8684

Other identifiers 1

IdentifierTypeStateIssuer
150.103816OtherILILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.103816ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1629600036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21331 BRITTANY DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238887",
            "telephone_number": "708-712-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1025-C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "773-417-9349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W Higgins Rd Ste 3100",
            "address_purpose": "LOCATION",
            "city": "South Barrington",
            "state": "IL",
            "postal_code": "600109354",
            "country_code": "US",
            "telephone_number": "773-672-8684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTTLEY",
        "first_name": "LECHAE",
        "middle_name": "NIALAH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "150.103816",
            "state": "IL"
        }
    ],
    "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 Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.