Individual provider Active NPI

Hana Holman

  • Clinical Social Worker
  • Grayslake, IL
National Provider Identifier
1962214791
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150112353 Issued in IL
Practice address
1190 E Washington St
Grayslake, IL 60030-7960
Phone
(847) 549-2235
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 150112353 IL Primary

Addresses

Primary practice location

1190 E Washington St
Grayslake, IL 60030-7960

Mailing address

639 Sandwedge PL
Gurnee, IL 60031-4718
Phone (847) 521-2767

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
I20260109001146 IL Practitioner - Clinical Social Worker 9234629254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Center of Grayslake LTDGroup PAC ID 7214214378, 11 clinicians

Practice addresses (Care Compare)

1190 E Washington St
Grayslake, IL 60030-7960
Phone (847) 549-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150112353ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Grayslake LTD. Clinical CurrentSince Nov 26, 2025 Accepting new patients

Locations

106 Center St
Grayslake, IL 60030
Phone (847) 543-8400

1190 E Washington St
Grayslake, IL 60030
Phone (847) 477-0434

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1962214791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 SANDWEDGE PL",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314718",
            "telephone_number": "847-521-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E WASHINGTON ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307960",
            "telephone_number": "847-549-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "HANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150112353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.