Antonio D. Champion, PH.D., LCSW
NPI 1619706520ActiveIndividual· Social Worker, Clinical· Maywood, IL
Social Worker, Clinical (PH.D., LCSW) in Maywood, Illinois, licensed in IL, with an NPI issued in July 2024. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1619706520 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., LCSW |
| Sole proprietor | Yes |
| NPI issued | Jul 29, 2024 |
| Last updated in NPPES | Jul 29, 2024 |
| Certified by provider | Jul 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149.027393 | 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) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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