Active NPI
Yosri Y Hassan, LCSW
- Clinical Social Worker
- Morris, IL
National Provider Identifier
1790953743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149012756
- Practice address
- 1401 Lakewood Dr
Suite a
Morris, IL 60450-3352 - Phone
- (815) 942-6323
- Fax
- (815) 942-6423
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149012756 | IL | Primary |
Addresses
Primary practice location
1401 Lakewood Dr
Suite a
Morris, IL 60450-3352
Mailing address
1401 Lakewood Dr
Suite a
Morris, IL 60450-3352
Phone (815) 942-6323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1790953743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 LAKEWOOD DR",
"address_2": "SUITE A",
"city": "MORRIS",
"state": "IL",
"postal_code": "604503352",
"telephone_number": "815-942-6323",
"fax_number": "815-942-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 LAKEWOOD DR",
"address_2": "SUITE A",
"city": "MORRIS",
"state": "IL",
"postal_code": "604503352",
"telephone_number": "815-942-6323",
"fax_number": "815-942-6423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "YOSRI",
"middle_name": "Y",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149012756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.