Individual provider Active NPI

Thomas McCann, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1750834743
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018378 Issued in IL
Practice address
11210 S Talman Ave
Chicago, IL 60655-1912
Phone
(773) 401-8515
NPI assigned
Jul 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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 149018378 IL Primary

Addresses

Primary practice location

11210 S Talman Ave
Chicago, IL 60655-1912

Mailing address

11210 S Talman Ave
Chicago, IL 60655-1912
Phone (773) 401-8515

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
I20160804001075 IL Practitioner - Clinical Social Worker 9931493541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serene HealthGroup PAC ID 0244652139, 23 clinicians

Practice addresses (Care Compare)

16335 Harlem Ave
Suite 300
Tinley Park, IL 60477-2574
Phone (844) 737-3638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Health Clinical CurrentSince May 3, 2024 Accepting new patients
Serene Health Ipa CurrentSince May 3, 2024 Accepting new patients
Cognitive Care Counseling, PLLC Clinical Past Accepting new patients

Locations

9265 Sky Park Ct
Ste 100
San Diego, CA 92123
Phone (619) 329-4483

16335 Harlem Ave
Ste 300
Tinley Park, IL 60477
Phone (773) 598-8723

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1750834743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 S TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551912",
            "telephone_number": "773-401-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 S TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551912",
            "telephone_number": "773-401-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.