Haneefah Booker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

10837 S Western Ave Ste 2
Chicago, IL 60643-3230

Phone

(773) 495-2430

Fax

(708) 923-0386

NPI assigned

Sep 14, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780780353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620944",
            "telephone_number": "773-495-2430",
            "fax_number": "708-923-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 S WESTERN AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433230",
            "telephone_number": "773-495-2430",
            "fax_number": "708-923-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "HANEEFAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "270630",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1634953",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Katlin Book, CCC-SLP
• Zachary R. Book, MD
• G Bradley Bookatz, M.D.
• Shadae Booker-Shelton, FNP-BC
• Connor Lawrence Booker, MD
• Jacqueline Luciana Booker, MSW, CADC
• Jessica Booker
• Warrin Traveal Booker
• Joyce Carol Bookshester, PSY.D.
• Boom Wellness PLLC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.