Active NPI
Marygrace Hibionada
- Clinical Social Worker
- Evanston, IL
National Provider Identifier
1801622279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 701 Main St Ste 203
Evanston, IL 60202-4960 - Phone
- (847) 996-9994
- NPI assigned
- Sep 11, 2024
- Last updated
- Sep 11, 2024
- Sex
- Female
- 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 | NU | Primary |
Addresses
Primary practice location
701 Main St Ste 203
Evanston, IL 60202-4960
Mailing address
400 Central Ave Ste 220
Northfield, IL 60093-3024
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unify Counseling Inc | Clinical | Current | Accepting new patients |
| DPT Holdings, LLC | Past | Accepting new patients |
Locations
701 Main St
Ste 203
Evanston, IL 60202
Phone (847) 906-3005
400 Central Ave
Ste 220
Northfield, IL 60093
Phone (847) 221-2222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1801622279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CENTRAL AVE STE 220",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MAIN ST STE 203",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602024960",
"telephone_number": "847-996-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBIONADA",
"first_name": "MARYGRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
- Thomas A Herriges, M.D
- Maxwell Hersman, APN-CRNA
- Eleanor Margaret Herzberg
- Frederick Charles Hess, MD
- Joyce Heyman, MA
- Jeffery W. Hickey, LCSW
- Highland Park CVS LLC (CVS Pharmacy #16349)
- Highland Park CVS LLC (CVS Pharmacy)
- Highland Park CVS, L.L.C. (CVS Pharmacy #03901)
- Highland Park CVS, L.L.C. (CVS Pharmacy # 04778)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.