Individual provider Active NPI

Eva M McCallister-James, MSW/LSW

  • Clinical Social Worker
  • Geneva, IL
National Provider Identifier
1871877662
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015305 Issued in IL
Practice address
379 Brittany CT Apt F
Geneva, IL 60134-3624
Phone
(224) 522-8076
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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 149.015305 IL Primary

Addresses

Primary practice location

379 Brittany CT Apt F
Geneva, IL 60134-3624

Mailing address

379 Brittany CT Apt F
Geneva, IL 60134-3624
Phone (224) 522-8076

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
I20130828000120 IL Practitioner - Clinical Social Worker 9234372905 Practice locations: Geneva, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

821 W State St
Suite 117a
Geneva, IL 60134-2064
Phone (224) 522-8076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015305ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eva McCallister-James Clinical CurrentSince Jun 12, 2014 Accepting new patients

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": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1871877662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 BRITTANY CT APT F",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343624",
            "telephone_number": "224-522-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 BRITTANY CT APT F",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343624",
            "telephone_number": "224-522-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER-JAMES",
        "first_name": "EVA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW/LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.