Devereux Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023141 Issued in IL

Practice address

750 Oakmont LN
Westmont, IL 60559-5551

Phone

(630) 861-1500

NPI assigned

Aug 8, 2017

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1801311139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 FAIRWAY DR APT 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639122",
            "telephone_number": "773-569-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OAKMONT LN",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595551",
            "telephone_number": "630-861-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 N Claremont Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221702",
            "country_code": "US",
            "telephone_number": "312-633-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "DEVEREUX",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bindu Gulati
• Cynthia Gutierrez, SLP
• Andrew Gutowski, PA-C
• Nicole Guyett
• Sandy Guzman, LPC
• Kristen Kathleen Hall, LCPC
• Brett M. Hampson, M.D.
• Anne M Hansen, LCPC
• Inderjit K Hansra-Godfrey, M.D., M.S.
• Happy Human, LLC (Eleni S. Liossis, Psy.D.)

• Clinical Social Worker in Westmont, IL
• Providers in Westmont, 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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.