Maria Regina Blackburn, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149022831 Issued in IL

Practice address

15127 S 73Rd Ave Ste G
Orland Park, IL 60462-3425

Phone

(708) 845-5500

NPI assigned

Apr 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chicago Christian Counseling Center IncGroup PAC ID 1052395258, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chicago Christian Counseling Center Inc

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1083664510
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1699138016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE STE G",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623425",
            "telephone_number": "708-845-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE STE G",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623425",
            "telephone_number": "708-845-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "MARIA",
        "middle_name": "REGINA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bionicare Prosthetics and Orthotics, LLC
• Andrea Bird, DT
• Bisi Beauty Supply, Inc.
• Ewa Blachowicz, NP,APN
• Latonya Black, PTA
• Rebecca Ann Blackett, MS, BCBA
• Tracy R Blake, RD
• Kathryn Blanchard, DPT
• Amy Blanks, CRNA
• Patricia Blatzer

• Clinical Social Worker in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.

Verify at the official NPI Registry.