Provena St Marys Hospital
NPI 1194982025 · Clinical Social Worker · Bourbonnais, IL
Provena St Marys Hospital is a Clinical Social Worker organization in Bourbonnais, IL (NPI 1194982025).
Provider details
- NPI number
- 1194982025
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Barry Lee, Eap Substance Abuse Counselor(815) 937-2081
- License
- 149006455 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2008-05-19
Frequently asked questions
- What is Provena St Marys Hospital's NPI number?
- Provena St Marys Hospital's National Provider Identifier (NPI) is 1194982025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provena St Marys Hospital?
- Provena St Marys Hospital is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Provena St Marys Hospital located?
- Provena St Marys Hospital's practice location on file with NPPES is 21 Heritage Drive, Bourbonnais, IL 60914.
- What is Provena St Marys Hospital's phone number?
- The practice phone number listed in the NPPES registry for Provena St Marys Hospital is (815) 937-2081.
- Who is the authorized official for Provena St Marys Hospital?
- The authorized official listed on Provena St Marys Hospital's NPPES record is Barry Lee, Eap Substance Abuse Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provena St Marys Hospital's NPI active?
- Yes — Provena St Marys Hospital's NPI (1194982025) is active in the NPPES registry as of the last update on 2008-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.