Individual provider Active NPI

Teresa Kay McFarland-Miller, MSW, LCSW

  • Clinical Social Worker
  • MC Leansboro, IL
National Provider Identifier
1104860238
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005459 Issued in IL
Practice address
611 S Marshall Ave
MC Leansboro, IL 62859-1213
Phone
(618) 237-2906
Fax
(618) 643-3128
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 1377075 IL
Clinical Social Worker 1041C0700X 149005459 IL Primary

Addresses

Primary practice location

611 S Marshall Ave
MC Leansboro, IL 62859-1213

Mailing address

5750 County Road 1175 N
MC Leansboro, IL 62859-4277
Phone (618) 237-2906

Other identifiers 2

IdentifierTypeStateIssuer
03332001OtherILBLUE CROSS NUMBER
371358897OtherILTRI-CARE NUMBER

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
I20240528002825 IL Practitioner - Clinical Social Worker 7315389970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 S Marshall Ave
MC Leansboro, IL 62859-1213
Phone (618) 643-2361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149005459ILMDClinical Social Worker
1377075ILMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Memorial Hospital District CurrentSince Mar 12, 2024 Accepting new patients
Hamilton Memorial Hospital District Current Accepting new patients
Hamilton Memorial Hospital District Current Accepting new patients

Locations

1112 Oak St
Ste 102
Carmi, IL 62821
Phone (618) 382-5030

1112 Oak St
Carmi, IL 62821
Phone (217) 732-9651

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/hamilto-2525a05c

Organizations & group practices 3

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1104860238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 COUNTY ROAD 1175 N",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628594277",
            "telephone_number": "618-237-2906",
            "fax_number": "618-643-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MARSHALL AVE",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591213",
            "telephone_number": "618-237-2906",
            "fax_number": "618-643-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLAND-MILLER",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1377075",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "03332001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE NUMBER",
            "identifier": "371358897",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Leansboro, IL

Sources for this page

Verify at the official NPI Registry.