DEBRA CROCKETT (NPI# 1538698071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538698071 |
| Entity Type | Individual |
| Full Name | DEBRA CROCKETT |
| Practice Address |
16107 La Salle St South Holland IL 60473-2064 |
| Mailing Address |
15127 S 73rd Ave Ste G Orland Park IL 60462-3425 |
| Practice Telephone | 8003616880 |
| Practice Fax Number | 7088455505 |
| Mailing Telephone | 8003616880 |
| Mailing Fax Number | 7088455505 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 150102144 | IL | Behavioral Health & Social Service Providers |
| Street Address |
16107 LA SALLE ST |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876440 | Heather Lynn Gilbert | Counselor | 16107 La Salle St, South Holland, IL 60473-2064 | 2019-11-22 |
| 1821650672 | Asabi S Yakini | Social Worker | 16107 La Salle St, South Holland, IL 60473-2064 | 2019-07-02 |
| 1811463664 | Jennifer N Hampton | Social Worker | 16107 La Salle St, South Holland, IL 60473-2064 | 2018-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427567296 | Andrea I Washington | Social Worker | 401 E 162nd St Ste 103, South Holland, IL 60473-2237 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295210 | Rachel H Maldonado | Social Worker | 312 Park Ave, Clarendon Hills, IL 60514-0400 | 2020-11-03 |
| 1982204889 | Emily Cotto | Social Worker | 521 S La Grange Rd Ste 201, La Grange, IL 60525-5633 | 2020-10-29 |
| 1689274763 | Matthew L Fetrow | Social Worker | 3001 Green Bay Rd Bldg 7, North Chicago, IL 60064-3048 | 2020-10-28 |
| 1013516517 | Jessica Ann Kurpiel | Social Worker | 244 N Craig Pl, Lombard, IL 60148-2007 | 2020-10-26 |
| 1699375121 | Deanna L Reed | Social Worker | 23819 W Mill St Ste 9, Plainfield, IL 60544-3460 | 2020-10-26 |
| 1285233825 | Grace Harrington | Social Worker | 1040 North Blvd Ste 225, Oak Park, IL 60301-1143 | 2020-10-24 |
| 1881293579 | Sheri Mccue | Social Worker | 4209 W Shamrock Ln # 1a, Mchenry, IL 60050-8700 | 2020-10-22 |
| 1811595325 | Veronica Lozano | Social Worker | 1 E Erie St Ste 525-4066, Chicago, IL 60611-2740 | 2020-10-16 |
| 1336747633 | Latrisha Mooberry | Social Worker | 2001 W Willow Knolls Dr Ste 210, Peoria, IL 61614-1257 | 2020-10-09 |
| 1285231688 | Alyssa Oddo | Social Worker | 2011 Gladstone Dr, Wheaton, IL 60189-5825 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on DEBRA CROCKETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.