Diala Ibrahim Abughosh, LCSW
Individual provider Active NPI Clinical Social Worker · Tinley Park, IL
NPI 1649927872 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1649927872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149024310 (IL)
- Practice address
- 16335 Harlem Ave Ste 412
Tinley Park, IL 60477-2790 - Phone
- (815) 320-9813
- NPI assigned
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hamdard Health Alliance
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325000690 | IL | Practitioner - Clinical Social Worker | 9032632658 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamdard Health Alliance | Current |
Accepting new patients | |
| Simply You Therapy, PLLC | Clinical | Current |
Accepting new patients |
| Hamdard Health Alliance | Current |
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
- diala.abughosh.1@10099.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149024310 | IL | Yes |
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
Other providers in Tinley Park, IL
- Abdol H Azaran MD SC
- Mohammad Abed
- Tiffany Abercrombie
- Jose A. Abreu
- Absolute Medical Group, Inc
- Ola Abughoush
- Access Plus Inc
- Accord Home Health Services, Inc.
- Accredited Foot Surgeons LTD
- Mallak Adawi
All providers in Tinley Park, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.