Provena St Marys Hospital
NPI 1194982025ActiveOrganization· Social Worker, Clinical· Bourbonnais, IL
Social Worker, Clinical in Bourbonnais, Illinois, registered in NPPES in May 2008. The authorized official on file is Barry S. Lee, LCSW CADC, Eap Substance Abuse Counselor.
Overview
| NPI | 1194982025 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2008 |
| Last updated in NPPES | May 19, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149006455 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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