Active NPI
Samantha Teresa Consiglio, LSW
- Social Worker
- Addison, IL
National Provider Identifier
1093563140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.113341
- Practice address
- 211 E Lake St Ste 1a
Addison, IL 60101-2877 - Phone
- (833) 825-5328
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.113341 | IL | Primary |
Addresses
Primary practice location
211 E Lake St Ste 1a
Addison, IL 60101-2877
Mailing address
535 W Daisy PL
Coal City, IL 60416-1469
Phone (331) 305-1680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.113341 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1093563140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 W DAISY PL",
"city": "COAL CITY",
"state": "IL",
"postal_code": "604161469",
"telephone_number": "331-305-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E LAKE ST STE 1A",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012877",
"telephone_number": "833-825-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSIGLIO",
"first_name": "SAMANTHA",
"middle_name": "TERESA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.113341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.