Sedona Center for Well Being P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149006213 Issued in IL

Legal business name

SEDONA CENTER FOR WELL BEING P.C.

Practice address

311 S 2ND St
St Charles, IL 60174-2863

Phone

(630) 797-5133

Fax

(630) 549-1019

NPI assigned

Sep 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Melissa J. Hill, LCSWNPI 1467734178

Title

President

Phone

(312) 550-6929

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa J. Hill, LCSW

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1467734178
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617494400000",
    "number": "1063795763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S 2ND ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742863",
            "telephone_number": "630-797-5133",
            "fax_number": "630-549-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 2ND ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742863",
            "telephone_number": "630-797-5133",
            "fax_number": "630-549-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA CENTER FOR WELL BEING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-550-6929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.