7739956300
NPI 1336685494ActiveOrganization· Social Worker, Clinical· Chicago, IL
Social Worker, Clinical in Chicago, Illinois, registered in NPPES in January 2017. The authorized official on file is Marquetta D. Hall, CPCS, Billing Coding Specialist.
Overview
| NPI | 1336685494 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2017 |
| Last updated in NPPES | Jan 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149018713 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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