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THOMAS SOUTHERLAND
NPI 1447752324
Social Worker - Clinical in Chicago, IL

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment
1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-2000 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 5, 2019, Mar 6, 2018 (2 updates tracked since 2018).

About Thomas Southerland NPPES

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

THOMAS SOUTHERLAND (NPI 1447752324) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149017033) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2012).

NPPES Registry Identity

NPI1447752324
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHOMAS SOUTHERLAND
Location Address1901 W HARRISON STChicago, IL 60612
Mailing Address1625 W Morse Ave Apt 3Chicago, IL 60626-5959 · (773) 620-2343
Phone(312) 864-2000
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2012
Enumeration DateMarch 6, 2018
Last NPPES UpdateSeptember 5, 20192 updates tracked since enumeration
✔ NPI 1447752324 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 · 149017033
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.
1901 W HARRISON ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Southerland is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244594240
PECOS Enrollment IDI20180427000347
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHANNA WEFES-POTTER
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (847) 843-2000
ARON BERHANU GUDETTA MD
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. LIGAYA VILLAFRANCA MARASIGAN M.D.
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Cook County (312) 864-5901
TIN TIN THOMAS M.D.
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
COOK COUNTY
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6189
HELEN ELIZABETH STRAUS MD
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-0060
MR. GLEN DERRICK TRAMMELL PA-C
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 869-7488
JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 319-2085

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 Thomas Southerland's NPI number?

The NPI number for Thomas Southerland is 1447752324. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Thomas Southerland located?

Thomas Southerland practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-2000.

What is Thomas Southerland's specialty?

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

Is Thomas Southerland enrolled in Medicare?

Yes. Thomas Southerland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Thomas Southerland was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.