Milana Nichelle Foxworth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023202 Issued in IL

Practice address

4230 Oak LN
Belleville, IL 62226-5520

Phone

(618) 580-2810

NPI assigned

Jun 5, 2022

Last updated

Jun 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2018

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Behavioral Health Center of St. Clair County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Saint Louis, IL
  • NPI 1720094345
  NPD

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1750010914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 OAK LN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265520",
            "telephone_number": "618-580-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 OAK LN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265520",
            "telephone_number": "618-580-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTH",
        "first_name": "MILANA",
        "middle_name": "NICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beneranda Sophia Ford-Glanton, M.D.
• Rodney Dean Ford Jr., ATC
• Forrest and Associates PLLC
• Four Fountains Convalescent Center
• Kathleen K Fournier, MD
• Carter Leroy Frank, M.A., L.C.P.C.
• Charles Joseph Franke III, L.C.S.W.
• Sheridan Latrice Franklin
• Cynthia R Frazer, PT
• Randolph M Freeman, MD

• Clinical Social Worker in Belleville, IL
• Providers in Belleville, 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 Jun 5, 2022; 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.