Individual provider Active NPI

Meloney Cook

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1669801239
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027773 Issued in IL
Practice address
7422 S Claremont Ave
Chicago, IL 60636-3630
Phone
(773) 454-8605
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Clinical Social Worker 1041C0700X 149027773 IL Primary

Addresses

Primary practice location

7422 S Claremont Ave
Chicago, IL 60636-3630

Mailing address

7422 S Claremont Ave
Chicago, IL 60636-3630
Phone (773) 454-8605

Other names 1

  • Mrs. Meloney McGee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • 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
I20241220000785 IL Practitioner - Clinical Social Worker 2062949662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Christian Counseling Center Inc Clinical CurrentSince Nov 26, 2024 Accepting new patients

Locations

15127 S 73rd Ave
Orland Park, IL 60462
Phone (708) 586-9608

15127 S 73rd Ave
Ste G
Orland Park, IL 60462
Phone (630) 990-1935

16107 La Salle St
South Holland, IL 60473

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1669801239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 S CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606363630",
            "telephone_number": "773-454-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 S CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606363630",
            "telephone_number": "773-454-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MELONEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELONEY",
            "last_name": "MCGEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.