Individual provider Active NPI

Ramona Celeste Hall, LCSW

  • Clinical Social Worker
  • Bourbonnais, IL
National Provider Identifier
1881851962
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012487 Issued in IL
Practice address
201 Park PL
Suite 11
Bourbonnais, IL 60914-1885
Phone
(815) 932-3395
NPI assigned
May 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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 149.012487 IL Primary

Addresses

Primary practice location

201 Park PL
Suite 11
Bourbonnais, IL 60914-1885

Mailing address

12 Briarcliff CT
Bourbonnais, IL 60914-1601
Phone (815) 549-0583

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
I20180402000780 IL Practitioner - Clinical Social Worker 9638431646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Rodasi LLCGroup PAC ID 0749418630, 34 clinicians

Practice addresses (Care Compare)

2500 W Higgins Rd
Suite 105
Hoffman Estates, IL 60169-2040
Phone (888) 870-1775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012487ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rodasi LLC Clinical CurrentSince Feb 13, 2018 Accepting new patients

Locations

525 E North St
Ste B
Bradley, IL 60915
Phone (815) 802-7787

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

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": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1881851962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BRIARCLIFF CT",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141601",
            "telephone_number": "815-549-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK PL",
            "address_2": "SUITE 11",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141885",
            "telephone_number": "815-932-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RAMONA",
        "middle_name": "CELESTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-17",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.