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7739956300
NPI 1336685494
Social Worker - Clinical in Chicago, IL

Active since January 13, 2017
1029 E 130TH ST, CHICAGO, IL 60628(773) 995-6300(773) 995-6192 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 7739956300 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

7739956300 (NPI 1336685494), doing business as Tca Health Care, is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since January 2017. The organization lists Marquetta D Hall, Billing Coding Specialist, as its authorized official.

NPPES Registry Identity

NPI1336685494
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business Name7739956300
Location Address1029 E 130TH STChicago, IL 60628-6908
Mailing Address1029 E.130th StreetChicago, IL 60628 · (773) 995-6300 · Fax (773) 995-6192
Phone(773) 995-6300
Fax(773) 995-6192
Organization SubpartNo
Authorized OfficialMarquetta D HallBilling Coding Specialist · (773) 995-6300
Enumeration DateJanuary 13, 2017
✔ NPI 1336685494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149018713
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1029 E 130TH ST, Chicago, IL 60628
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Other Names 1

Former Legal Business NameTca Health Care

Other Identifiers 1

Other149018713IL · 149018713

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YUSRA MOURSY
Internal Medicine
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
TAMMIE SILAS FNP
Nurse Practitioner (Family)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
MS. SARAH ANN MANAHER LCSW
Social Worker (Clinical)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (305) 747-2932
DR. MATTHIS MURRIETTA GUTTIERREZ MD,MHSA,BSN
Clinic/Center (Community Health)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
TCA HEALTH INC NFP
Clinic/Center (Federally Qualified Health Center (FQHC))
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
TANISHA L. WINSTON FNP
Nurse Practitioner (Family)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300
DR. ALY GAMEE DMD
Dentist
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 846-3000
MELINDA PIPIK FNP-BC
Nurse Practitioner (Family)
1029 E 130TH ST
CHICAGO, IL 60628
Cook County (773) 995-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 7739956300's NPI number?

The NPI number for 7739956300 is 1336685494. It was assigned to this organization in the NPPES registry on January 13, 2017. The provider was formerly known as Tca Health Care.

Where is 7739956300 located?

7739956300 is located at 1029 E 130th St, Chicago, IL 60628. The listed phone number is (773) 995-6300.

What is 7739956300's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for 7739956300 was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.