Individual provider Active NPI

Amy Hart

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1972015568
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
715 Lake St Ste 800
Oak Park, IL 60301-1417
Phone
(773) 312-3612
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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 Primary

Addresses

Primary practice location

715 Lake St Ste 800
Oak Park, IL 60301-1417

Mailing address

715 Lake St Ste 800
Oak Park, IL 60301-1417
Phone (773) 312-3612

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
I20210723001798 IL Practitioner - Clinical Social Worker 3375946650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Counseling Partners LLCGroup PAC ID 0749605830, 14 clinicians

Practice addresses (Care Compare)

715 Lake St
Suite 273
Oak Park, IL 60301-1411
Phone (773) 312-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Counseling Partners LLC CurrentSince Mar 20, 2021 Accepting new patients

Locations

715 Lake St
Ste 273
Oak Park, IL 60301
Phone (708) 848-3800

715 Lake St
Ste 800
Oak Park, IL 60301
Phone (708) 386-8145

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1972015568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 800",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011417",
            "telephone_number": "773-312-3612",
            "fax_number": "708-294-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 800",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011417",
            "telephone_number": "773-312-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.