Individual provider Active NPI

Corinna House, LCSW CADC

  • Clinical Social Worker
  • Oswego, IL
National Provider Identifier
1811460108
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020938 Issued in IL
Practice address
644 Lincoln Station Dr
Oswego, IL 60543-8138
Phone
(630) 696-6459
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.102261 IL
Clinical Social Worker 1041C0700X 149.020938 IL Primary

Addresses

Primary practice location

644 Lincoln Station Dr
Oswego, IL 60543-8138

Mailing address

644 Lincoln Station Dr
Oswego, IL 60543-8138
Phone (630) 696-6459

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
I20240125004559 IL Practitioner - Clinical Social Worker 4587017587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 College Dr
Kankakee, IL 60901-6505
Phone (815) 731-0331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.102261ILMDSocial Worker
149.020938ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Joliet Current Accepting new patients
Catholic Charities of the Diocese of Joliet CurrentSince Nov 6, 2023 Accepting new patients
Catholic Charities of the Diocese of Joliet CurrentSince Nov 6, 2023 Accepting new patients

Locations

16555 Weber Rd
Crest Hill, IL 60403
Phone (800) 240-7011

3040 Finley Rd
Ste 200
Downers Grove, IL 60515
Phone (630) 495-8008

203 N Ottawa St
Joliet, IL 60432
Phone (815) 730-4891

100 College Dr
Kankakee, IL 60901
Phone (800) 240-7011

Interoperability endpoints

  • Direct secure messaging: corinna.house.p1@direct.hcenter.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1811460108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 LINCOLN STATION DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438138",
            "telephone_number": "630-696-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 LINCOLN STATION DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438138",
            "telephone_number": "630-696-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "CORINNA",
        "name_prefix": "Dr.",
        "credential": "LCSW CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102261",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.