Individual provider Active NPI

Valerie Watts

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1821844879
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149026519 Issued in IL
Practice address
2020 S Meyers Rd
Lombard, IL 60148-5039
Phone
(708) 845-5500
Fax
(708) 845-5505
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 149026519 IL Primary

Addresses

Primary practice location

2020 S Meyers Rd
Lombard, IL 60148-5039

Mailing address

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

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

State licenses

LicenseStateTypeSpecialty
149026519ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Christian Counseling Center Inc Clinical CurrentSince May 7, 2024 Accepting new patients

Locations

2020 S Meyers Rd
Lombard, IL 60148

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

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1821844879",
    "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": "2020 S MEYERS RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485039",
            "telephone_number": "708-845-5500",
            "fax_number": "708-845-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.