Individual provider Active NPI

Tatiana Perkins

  • Clinical Social Worker
  • West Chicago, IL
National Provider Identifier
1720898901
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028523 Issued in IL
Practice address
1204 Kings Cir Apt 12
West Chicago, IL 60185-4361
Phone
(773) 850-6195
NPI assigned
Jan 10, 2025
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149028523 IL Primary

Addresses

Primary practice location

1204 Kings Cir Apt 12
West Chicago, IL 60185-4361

Mailing address

1204 Kings Cir Apt 12
West Chicago, IL 60185-4361
Phone (773) 850-6195

Other practice location 1

865 E Wilmette Rd
Palatine, IL 60074-6493
Phone (773) 850-6195

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

LicenseStateTypeSpecialty
149028523ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services Consulting Group Inc Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1720898901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 KINGS CIR APT 12",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854361",
            "telephone_number": "773-850-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 KINGS CIR APT 12",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854361",
            "telephone_number": "773-850-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 E Wilmette Rd",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600746493",
            "country_code": "US",
            "telephone_number": "773-850-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "TATIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.