Individual provider Active NPI

Saioa Marie Aranceta, M.S.W.

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1124269683
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013387 Issued in IL
Practice address
415 1/2 N Neil St
Apt. 2
Champaign, IL 61820-3764
Phone
(616) 581-0344
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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 149.013387 IL Primary

Addresses

Primary practice location

415 1/2 N Neil St
Apt. 2
Champaign, IL 61820-3764

Mailing address

415 1/2 N. Neil St.
Apt. 2
Champaign, IL 61820-3764
Phone (616) 581-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 21, 2020 through Jan 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.013387ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1124269683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 1/2 N. NEIL ST.",
            "address_2": "APT. 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203764",
            "telephone_number": "616-581-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 1/2 N NEIL ST",
            "address_2": "APT. 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203764",
            "telephone_number": "616-581-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANCETA",
        "first_name": "SAIOA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.