Individual provider Active NPI

Diala Ibrahim Abughosh, LCSW

  • Clinical Social Worker
  • Tinley Park, IL
National Provider Identifier
1649927872
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024310 Issued in IL
Practice address
16335 Harlem Ave Ste 412
Tinley Park, IL 60477-2790
Phone
(815) 320-9813
NPI assigned
Mar 8, 2022
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149024310 IL Primary

Addresses

Primary practice location

16335 Harlem Ave Ste 412
Tinley Park, IL 60477-2790

Mailing address

16335 Harlem Ave Ste 412
Tinley Park, IL 60477-2790
Phone (815) 320-9813

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
I20250325000690 IL Practitioner - Clinical Social Worker 9032632658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamdard Health AllianceGroup PAC ID 4880680289, 18 clinicians

Practice addresses (Care Compare)

1542 W Devon Ave
Chicago, IL 60660-1344
Phone (630) 835-1430

228 E Lake St
Addison, IL 60101-2889
Phone (630) 835-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simply You Therapy, PLLC Clinical CurrentSince Sep 17, 2023 Accepting new patients
Hamdard Health Alliance CurrentSince Jan 29, 2025 Accepting new patients
Hamdard Health Alliance CurrentSince Jan 29, 2025 Accepting new patients
Hamdard Health Alliance Past Accepting new patients

Locations

228 E Lake St
Addison, IL 60101
Phone (630) 835-1430

1542 W Devon Ave
Chicago, IL 60660
Phone (773) 465-4600

Interoperability endpoints

  • Direct secure messaging: diala.abughosh.1@10099.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1649927872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16335 HARLEM AVE STE 412",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772790",
            "telephone_number": "815-320-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16335 HARLEM AVE STE 412",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772790",
            "telephone_number": "815-320-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUGHOSH",
        "first_name": "DIALA",
        "middle_name": "IBRAHIM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.