Individual provider Active NPI

Maryann Kannappan

  • Social Worker
  • Chicago, IL
National Provider Identifier
1942663349
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149.009309 Issued in IL
Practice address
8251 S Rhodes Ave
Chicago, IL 60619-5005
Phone
(773) 818-9607
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149.009309 IL Primary

Addresses

Primary practice location

8251 S Rhodes Ave
Chicago, IL 60619-5005

Mailing address

8251 S Rhodes Ave
Chicago, IL 60619-5005
Phone (773) 818-9607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190329002381 NC Practitioner - Clinical Social Worker 4082955083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chapel Hill Psychiatric Associates, P.a.Group PAC ID 6305930942, 6 clinicians

Practice addresses (Care Compare)

610 Jones Ferry Rd
Suite 208
Carrboro, NC 27510-6113
Phone (919) 636-5695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.009309ILMDSocial Worker

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1942663349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 S RHODES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195005",
            "telephone_number": "773-818-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 S RHODES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195005",
            "telephone_number": "773-818-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNAPPAN",
        "first_name": "MARYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.009309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.