Individual provider Active NPI

Schales Lucille Nagle, LCSW

  • Clinical Social Worker
  • Taylorville, IL
National Provider Identifier
1154697779
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006029 Issued in IL
Practice address
1290 W Wantland Dr
Taylorville, IL 62568-9306
Phone
(217) 273-4902
NPI assigned
Mar 28, 2012
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 149006029 IL Primary

Addresses

Primary practice location

1290 W Wantland Dr
Taylorville, IL 62568-9306

Mailing address

1290 W Wantland Dr
Taylorville, IL 62568-9306
Phone (217) 273-4902

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
I20231115002159 IL Practitioner - Clinical Social Worker 7416304233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246

217 S Locust St
Pana, IL 62557-1605
Phone (217) 562-2143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association CurrentSince Oct 1, 2023 Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Pana Community Hospital Association CurrentSince Oct 1, 2023 Accepting new patients

Locations

120 S Cedar St
Nokomis, IL 62075
Phone (217) 563-8363

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544

103 W 6th St
Ramsey, IL 62080
Phone (217) 562-6246

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1154697779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 W WANTLAND DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689306",
            "telephone_number": "217-273-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 W WANTLAND DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689306",
            "telephone_number": "217-273-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "SCHALES",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.