Active NPI
Vashonte James, MSW, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015583
- Practice address
- 1525 E 53Rd St
904
Chicago, IL 60615-4557 - Phone
- (312) 203-2370
- Fax
- (312) 288-8613
- NPI assigned
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 149015583 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 34006574A | IN |
Addresses
Primary practice location
1525 E 53Rd St
904
Chicago, IL 60615-4557
Mailing address
2609 Commercial Ave Unit B
South Chicago Heights, IL 60411-4801
Phone (708) 515-9163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18161 Morris Ave
Suite 102
Homewood, IL 60430-2140
Phone (708) 349-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015583 | IL | MD | Clinical Social Worker |
| 34006574A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Therapy Solutions LLC | Clinical | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Brave Health Medical Group PA | Current | Accepting new patients | |
| Anxiety and Stress Center, P.C. | Current | Accepting new patients |
Locations
1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749
18161 Morris Ave
Ste 102
Homewood, IL 60430
Phone (708) 349-5433
15030 S Ravinia Ave
Ste 32
Orland Park, IL 60462
Phone (708) 349-5433
4760 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 601-2697
Interoperability endpoints
- vashontejames@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Homewood, IL
- NPI 1568513034
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1639414279
Clinical, IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1659679983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 COMMERCIAL AVE UNIT B",
"city": "SOUTH CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604114801",
"telephone_number": "708-515-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E 53RD ST",
"address_2": "904",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154557",
"telephone_number": "312-203-2370",
"fax_number": "312-288-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "VASHONTE",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015583",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006574A",
"primary": false
}
],
"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 Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.