Individual provider Active NPI

Carmecia McKnight, LCSW

  • Clinical Social Worker
  • Homewood, IL
National Provider Identifier
1831874486
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025685 Issued in IL
Practice address
18161 Morris Ave Ste 102
Homewood, IL 60430-2191
Phone
(708) 349-5433
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 149.025685 IL Primary

Addresses

Primary practice location

18161 Morris Ave Ste 102
Homewood, IL 60430-2191

Mailing address

7252 Bradford CT
Justice, IL 60458-1082
Phone (708) 781-8099

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
I20231102003004 IL Practitioner - Clinical Social Worker 6103272794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety and Stress Center, P.C. CurrentSince Aug 26, 2023 Accepting new patients
Mindful Matters Clinical Counseling Clinical Current Accepting new patients

Locations

18161 Morris Ave
Ste 102
Homewood, IL 60430
Phone (708) 349-5433

15030 S Ravinia Ave
Ste 32
Orland Park, IL 60462
Phone (708) 349-5433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1831874486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 BRADFORD CT",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581082",
            "telephone_number": "708-781-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 MORRIS AVE STE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302191",
            "telephone_number": "708-349-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "CARMECIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.