IndividualActive
Mary Bohannon, LCSW
NPI 1063761070 · Clinical Social Worker · Chicago, IL
Mary Bohannon, LCSW is a Clinical Social Worker provider in Chicago, IL (NPI 1063761070).
Provider details
- NPI number
- 1063761070
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149.017345 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1842 N Spaulding Ave Apt 3
Chicago, IL 60647-0174
Phone: (773) 826-9927
Street-level locationGet directions
Mailing address
1842 N Spaulding Ave Apt 3
Chicago, IL 60647-0174
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Frequently asked questions
- What is Mary Bohannon's NPI number?
- Mary Bohannon's National Provider Identifier (NPI) is 1063761070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Bohannon's specialty?
- Mary Bohannon is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Bohannon located?
- Mary Bohannon's practice location on file with NPPES is 1842 N Spaulding Ave Apt 3, Chicago, IL 60647-0174.
- What is Mary Bohannon's phone number?
- The practice phone number listed in the NPPES registry for Mary Bohannon is (773) 826-9927.
- Is Mary Bohannon's NPI active?
- Yes — Mary Bohannon's NPI (1063761070) is active in the NPPES registry as of the last update on 2023-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.