Organization Active NPI

Melvin Herring, LCSW, LLC

  • Clinical Social Worker
  • Joliet, IL
National Provider Identifier
1124688866
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MELVIN HERRING, LCSW, LLC
Practice address
1425 Essington Rd
Joliet, IL 60435-2873
Phone
(773) 510-5122
NPI assigned
Jun 14, 2019
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Melvin Herring, LCSWNPI 1609121771
Title
Member
Phone
(773) 510-5122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1425 Essington Rd
Joliet, IL 60435-2873

Mailing address

2328 E Lincoln Hwy Unit 248
New Lenox, IL 60451-9533
Phone (773) 510-5122

National Provider Directory

National Provider Directory

Locations

2328 E Lincoln Hwy
New Lenox, IL 60451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1124688866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 E LINCOLN HWY UNIT 248",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519533",
            "telephone_number": "773-510-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352873",
            "telephone_number": "773-510-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN HERRING, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "773-510-5122",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.