7739956300
NPI 1336685494
Social Worker - Clinical in Chicago, IL
NPI Status: Active since January 13, 2017
Contact Information
1029 E 130TH ST
CHICAGO, IL
ZIP 60628
Phone: (773) 995-6300
Fax: (773) 995-6192
- Organization
- Social Worker
- Clinical
- CLIA Number: 14D0425869
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 02-06-2027
About 7739956300
This page provides the complete NPI Profile along with additional information for 7739956300, a provider established in Chicago, Illinois operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1336685494 assigned on January 2017. The practitioner's primary taxonomy code is 1041C0700X with license number 149018713 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. 7739956300 operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Tca Health Care. The authorized official of this NPI record is Ms. Marquetta D Hall Cpcs (Billing Coding Specialist)
- NPI
- 1336685494
- Provider Legal Name
- 7739956300
- Other Organization Name
- TCA HEALTH CARE
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1029 E 130TH ST CHICAGO, IL 60628
- Location Phone
- (773) 995-6300
- Location Fax
- (773) 995-6192
- Mailing Address
- 1029 E.130TH STREET CHICAGO, IL 60628
- Mailing Phone
- (773) 995-6300
- Mailing Fax
- (773) 995-6192
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-13-2017
- Last Update Date
- 01-13-2017
- Code Navigator
A clinical social worker like 7739956300 is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 149018713
- License State
- IL
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 149018713 | OTHER (01) | IL | 149018713 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0425869
- Facility Type
- Community Clinic
- Certificate Effective Date
- February 07, 2025
- Certificate Expiration Date
- February 06, 2027
- Laboratory Director
- ZAINAB WILSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to 7739956300 in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for 7739956300
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336685494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
CHICAGO, IL 60628
CHICAGO, IL 60628
CHICAGO, IL 60628
CHICAGO, IL 60628
CHICAGO, IL 60628
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336685494, enumerated as an "organization" on January 13, 2017.
The provider is located at 1029 E 130TH ST CHICAGO, IL 60628 and the phone number is (773) 995-6300.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
