MARY KATHERINE BOHANNON


Address: 4800 W Chicago Ave, Chicago, IL 60651-3226
Phone: 7738269927

MARY KATHERINE BOHANNON (NPI# 1063761070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063761070
Entity Type Individual
Full Name MARY KATHERINE BOHANNON
Credential LCSW
Practice Address 4800 W Chicago Ave
Chicago
IL 60651-3226
Practice Telephone 7738269927
Mailing Telephone 7738269927
Enumeration Date 2012-09-05
Last Update Date 2017-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149.017345 IL Behavioral Health & Social Service Providers

Other Providers MARY BOHANNON

NPI Name Taxonomy Address Enumeration
1518179365 Mary Bohannon Dental Hygienist 1702 Pat Booker Rd, Universal City, TX 78148-3435 2007-05-04
1518187749 Mary H Bohannon Dietitian, Registered 4001 Newberry Rd, Suite C Iv, Gainesville, FL 32607 2007-04-30

Office Location

Street Address 4800 W CHICAGO AVE
City CHICAGO
State IL
Zip Code 60651-3226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568490381 Louis Rohr Internal Medicine 4800 W Chicago Ave, Chicago, IL 60651-3223 2006-06-29
1790237147 Colleen Ann Foley Nurse Practitioner 4800 W Chicago Ave, Chicago, IL 60651-3226 2016-11-02
1558484196 Vuthik T. Chhay Physician Assistant 4800 W Chicago Ave, Chicago, IL 60651-3223 2007-04-09
1174641393 Claudette Rice Cohen Physician Assistant 4800 W Chicago Ave, 2nd Fl, Chicago, IL 60651-3223 2007-03-26
1447389994 Ngozi Ogbunamiri Ezike Internal Medicine 4800 W Chicago Ave, 1st Floor, Chicago, IL 60651-3223 2007-03-02
1730294588 Wskc Dialysis Services, Inc. Clinic/Center 4800 W Chicago Ave, Chicago, IL 60651-3223 2006-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215474978 Kanesha Walker Amaro Counselor 5910 W Division, Chicago, IL 60651 2017-01-19
1639628415 Fresenius Medical Care of Illinois, LLC Clinic/Center 3520 West Grand, Chicago, IL 60651 2016-09-22
1326596321 Giselle Tisha Wallace Nurse's Aide 5809 W Rice, Chgo, IL 60651 2016-09-19
1811385214 Jeanette Rodriguez Social Worker 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 2015-01-07
1801147475 Diane Dickens-rogers Massage Therapist 5700 W. Chicago Ave., Chicago, IL 60651 2012-09-24
1891045241 Association House of Chicago Residential Treatment Facility, Emotionally Disturbed Children 1900 North Sawyer Avenue, Chicago, IL 60651 2012-09-13
1770860983 Christine C Osborne Pharmacist 1541 N.central Ave, Chicago, IL 60651 2011-11-16
1629206388 Habilitative Systems Inc Case Management 1049 N Drake Ave, Chicago, IL 60651 2009-07-01
1841428547 Habilitative Systems, Inc. Case Management 4234 W Potomac Ave, Chicago, IL 60651 2009-07-01
1306074000 Habilitative Systems, Inc Case Management 915 N Massasoit Ave, Chicago, IL 60651 2009-07-01
Find all providers in zip 60651

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295336022 Web Healing Collective Pllc Social Worker 6207 N Springfield Ave, Chicago, IL 60659-1015 2020-11-06
1881295186 Belva Marie Dibert Social Worker 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 2020-11-03
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1164022422 Brittany Lauren Gatchell Social Worker 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 2020-10-27
1467052803 Seri Elaine Porter Social Worker 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 2020-10-26
1255930707 Emily Ehrens Social Worker 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 2020-10-25
1316546955 Yesenia Maldonado Social Worker 3922 N Sayre Ave, Chicago, IL 60634-2329 2020-10-24
1144829201 Andrea Hohf, Mscd, Lcsw Social Worker 564 W Randolph St Ste 248, Chicago, IL 60661-2218 2020-10-20
1215536693 Miracleworks Therapy & Consulting LLC Social Worker 2138 S Indiana Ave, Chicago, IL 60616-4930 2020-10-18
1104425552 Fifth Star Collective, LLC Social Worker 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 2020-10-17
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60651

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Dataset Information

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.

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