Amy Eddy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.017488 Issued in IL

Practice address

1095 Pingree Rd
Crystal Lake, IL 60014-1725

Phone

(224) 256-2607

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1114780822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 AUGUSTA DR",
            "city": "GILBERTS",
            "state": "IL",
            "postal_code": "601364044",
            "telephone_number": "708-721-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141725",
            "telephone_number": "224-256-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Marie Dyre, PHD
• Barbara E. Easterday, MSW, LCSW
• Anthony J Ebel, D.C.
• Ech Counseling PLLC
• Monica Kay Eckles, COTA/L
• Christa M Edwards, MD
• Edwin V. Gumapas M.D. PC
• Effective Solutions in Counseling LLC
• Stephanie Egan, PT, DPT, LMT
• Gilbert N Egekeze, MD

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, 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 Feb 5, 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.

Verify at the official NPI Registry.