Active NPI
Sheree Beth Lettman, LSW
- Social Worker
- Channahon, IL
National Provider Identifier
1952944928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.101455
- Practice address
- 25224 W Eames St
Channahon, IL 60410-5215 - Phone
- (815) 467-8181
- NPI assigned
- Oct 23, 2019
- Last updated
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.101455 | IL | Primary |
Addresses
Primary practice location
25224 W Eames St
Channahon, IL 60410-5215
Mailing address
1595 Schubert Dr
Morris, IL 60450-3617
Phone (815) 685-7573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.101455 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1952944928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 SCHUBERT DR",
"city": "MORRIS",
"state": "IL",
"postal_code": "604503617",
"telephone_number": "815-685-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25224 W EAMES ST",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604105215",
"telephone_number": "815-467-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETTMAN",
"first_name": "SHEREE",
"middle_name": "BETH",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.101455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Channahon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.