Active NPI
Connie Harris Senter, L.C.S.W.
- Clinical Social Worker
- Olympia Fields, IL
National Provider Identifier
1164848438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.002957
- Practice address
- 3612 Lincoln Hwy
Suite 4
Olympia Fields, IL 60461-1627 - Phone
- (708) 747-1322
- NPI assigned
- Mar 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 149.002957 | IL | Primary |
Addresses
Primary practice location
3612 Lincoln Hwy
Suite 4
Olympia Fields, IL 60461-1627
Mailing address
3616 Parthenon Way
Olympia Fields, IL 60461-1322
Phone (708) 747-1322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.002957 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1164848438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 PARTHENON WAY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611322",
"telephone_number": "708-747-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 LINCOLN HWY",
"address_2": "SUITE 4",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611627",
"telephone_number": "708-747-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENTER",
"first_name": "CONNIE",
"middle_name": "HARRIS",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.002957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.