Active NPI
Joslyn Huntsman, LCSW
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1134958341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.027478
- Practice address
- 6653 Weaver Rd Ste 112
Rockford, IL 61114-8068 - Phone
- (815) 201-2687
- NPI assigned
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.027478 | IL | Primary |
Addresses
Primary practice location
6653 Weaver Rd Ste 112
Rockford, IL 61114-8068
Mailing address
6653 Weaver Rd Ste 112
Rockford, IL 61114-8068
Phone (815) 201-2687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.027478 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Counseling Center PLLC | Clinical | Current | Accepting new patients |
Locations
6653 Weaver Rd
Ste 112
Rockford, IL 61114
Phone (815) 201-2687
Organizations & group practices 1
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": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1134958341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6653 WEAVER RD STE 112",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611148068",
"telephone_number": "815-201-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6653 WEAVER RD STE 112",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611148068",
"telephone_number": "815-201-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTSMAN",
"first_name": "JOSLYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.027478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.