Individual provider Active NPI

Blair Winn Barbour, MSW ACSW LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1780749382
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
715 Lake Street
Suite 516
Oak Park, IL 60302-1414
Phone
(708) 386-1907
Fax
(708) 848-3031
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

715 Lake Street
Suite 516
Oak Park, IL 60302-1414

Mailing address

715 Lake Street
Suite 516
Oak Park, IL 60302-1414
Phone (708) 386-1907

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
I20070403000280 IL Practitioner - Clinical Social Worker 9638273543 Practice locations: Oak Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

715 Lake St
Suite 714
Oak Park, IL 60301-1416
Phone (708) 386-1907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW#149000997ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780749382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LAKE STREET",
            "address_2": "SUITE 516",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021414",
            "telephone_number": "708-386-1907",
            "fax_number": "708-848-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE STREET",
            "address_2": "SUITE 516",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021414",
            "telephone_number": "708-386-1907",
            "fax_number": "708-848-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "BLAIR",
        "middle_name": "WINN",
        "name_prefix": "Ms.",
        "credential": "MSW ACSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.