Active NPI
Marna Simon Wal, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1689560377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.116631
- Practice address
- 1136 W Wilson Ave Apt 305
Chicago, IL 60640-6201 - Phone
- (952) 457-8466
- NPI assigned
- Jun 17, 2025
- Last updated
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.116631 | IL | Primary |
Addresses
Primary practice location
1136 W Wilson Ave Apt 305
Chicago, IL 60640-6201
Mailing address
16720 Brunswick Ave SE Apt 202
Prior Lake, MN 55372-3988
Phone (952) 457-8466
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.116631 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Emotions Mental Health Services PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Healing Emotions Mental Health Services
- Clinical Social Worker
- Springfield, IL
- NPI 1619863958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1689560377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16720 BRUNSWICK AVE SE APT 202",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553723988",
"telephone_number": "952-457-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 W WILSON AVE APT 305",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606406201",
"telephone_number": "952-457-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAL",
"first_name": "MARNA",
"middle_name": "SIMON",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.116631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.