Jevita Renee' Hamilton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017444 Issued in IL

Practice address

935 175TH St Ste 300
Homewood, IL 60430-2073

Phone

(708) 941-4415

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Wellness Counseling

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1225695299
  NPD Authorized official
• Compassionate Counseling, LLC

  • Mental Health Counselor
  • Anchorage, AK
  • NPI 1740946060
  NPD

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1942791371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 157TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731528",
            "telephone_number": "708-941-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 175TH ST STE 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302073",
            "telephone_number": "708-941-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9204 S Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606172197",
            "country_code": "US",
            "telephone_number": "708-941-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JEVITA",
        "middle_name": "RENEE'",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Hall, LCPC
• Yvonne Hall, RN MSN
• Halsted Vision Center, LLC
• Imtiaz Hamid, MD
• Jason L Hamilton
• Laquita Hanson
• Alex Haralampopoulos, D.M.D.
• Freda S. Hardaway, LCSW
• Clarreesa Hardin, PHARRM D.
• Jerne Hardy

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.