Individual provider Active NPI

Charles Joseph Franke III, L.C.S.W.

  • Clinical Social Worker
  • Belleville, IL
National Provider Identifier
1104125731
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014031 Issued in IL
Practice address
12 N 64TH St
Belleville, IL 62223-3809
Phone
(618) 397-0900
Fax
(618) 397-4368
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014031 IL Primary

Addresses

Primary practice location

12 N 64TH St
Belleville, IL 62223-3809

Mailing address

12 N 64TH St
Belleville, IL 62223-3809
Phone (618) 397-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920002471 IL Practitioner - Clinical Social Worker 0547534133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014031ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc CurrentSince Aug 1, 2017 Accepting new patients
Chestnut Health Systems Inc. CurrentSince Aug 1, 2017 Accepting new patients

Locations

12 N 64th St
Belleville, IL 62223
Phone (618) 397-0900

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

2148 Vadalabene Dr
Maryville, IL 62062
Phone (618) 288-3100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1104125731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233809",
            "telephone_number": "618-397-0900",
            "fax_number": "618-397-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233809",
            "telephone_number": "618-397-0900",
            "fax_number": "618-397-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKE",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.