Individual provider Active NPI

Marcia M. McCabe, M.A.

  • Clinical Social Worker
  • Homewood, IL
National Provider Identifier
1750436275
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-003514 Issued in IL
Practice address
2024 Hickory Rd
Ste 104
Homewood, IL 60430-2158
Phone
(708) 799-4649
Fax
(708) 799-6409
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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 149-003514 IL Primary

Addresses

Primary practice location

2024 Hickory Rd
Ste 104
Homewood, IL 60430-2158

Mailing address

2024 Hickory Rd
Ste 104
Homewood, IL 60430-2158
Phone (708) 799-4649

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121010000252 IL Practitioner - Clinical Social Worker 0941459853 Practice locations: Homewood, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2024 Hickory Rd
Suite 104
Homewood, IL 60430-2158
Phone (708) 799-4649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
149-003514ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1750436275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 104",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-799-4649",
            "fax_number": "708-799-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 104",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-799-4649",
            "fax_number": "708-799-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "MARCIA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-003514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.