Individual provider Active NPI

Asabi S Yakini

  • Clinical Social Worker
  • South Holland, IL
National Provider Identifier
1821650672
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009570 Issued in IL
Practice address
16107 La Salle St
South Holland, IL 60473-2064
Phone
(708) 845-5500
Fax
(708) 845-5505
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009570 IL Primary

Addresses

Primary practice location

16107 La Salle St
South Holland, IL 60473-2064

Mailing address

15127 S 73Rd Ave Ste G
Orland Park, IL 60462-3425
Phone (708) 845-5500

Other practice location 1

1010 E 79th St
Chicago, IL 60619-4442
Phone (708) 845-5500

Other names 1

  • Deborah J Scott Former name

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
I20190730000635 IL Practitioner - Clinical Social Worker 2860728870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Christian Counseling Center IncGroup PAC ID 1052395258, 20 clinicians

Practice addresses (Care Compare)

16107 La Salle St
South Holland, IL 60473-2064
Phone (708) 845-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Christian Counseling Center Inc Clinical CurrentSince Jul 8, 2019 Accepting new patients

Locations

1010 E 79th St
Chicago, IL 60619
Phone (312) 613-8792

15127 S 73rd Ave
Ste G
Orland Park, IL 60462
Phone (630) 990-1935

15127 S 73rd Ave
Orland Park, IL 60462
Phone (708) 586-9608

16107 La Salle St
South Holland, IL 60473

Organizations & group practices 1

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1821650672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE STE G",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623425",
            "telephone_number": "708-845-5500",
            "fax_number": "708-845-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16107 LA SALLE ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732064",
            "telephone_number": "708-845-5500",
            "fax_number": "708-845-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 E 79th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606194442",
            "country_code": "US",
            "telephone_number": "708-845-5500",
            "fax_number": "708-845-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKINI",
        "first_name": "ASABI",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SCOTT",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.