James B Garrison, LCSW
Individual provider Active NPI Clinical Social Worker · Roscoe, IL
NPI 1174074975 · NPPES record last updated Sep 24, 2025
Key facts
- NPI
- 1174074975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149024297 (IL)
- Practice address
- 5005 Hononegah Rd Unit 1
Roscoe, IL 61073-8682 - Phone
- (779) 269-4011
- Fax
- (779) 771-6343
- NPI assigned
- Oct 18, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Confluence Individual and Relationship Counseling LLC
Practice addresses (Care Compare)
5005 Hononegah Rd
Roscoe, IL 61073-8682
Phone (815) 222-1679
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220311000522 | IL | Practitioner - Clinical Social Worker | 9436544350 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149024297 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confluence Individual and Relationship Counseling LLC | Current |
Accepting new patients |
Locations
5005 Hononegah Rd
Unit 1
Roscoe, IL 61073
Phone (779) 269-4011
5005 Hononegah Rd
Roscoe, IL 61073
Phone (779) 696-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149024297 | IL | Yes |
Addresses
Primary practice location
5005 Hononegah Rd Unit 1
Roscoe, IL 61073-8682
Mailing address
1324 Camp Ave
Rockford, IL 61103
Phone (815) 222-1679
Other providers in Roscoe, IL
- Francis Family Chiropractic LTD
- Margaret Allensworth Franklin
- Tiffany Renee Franklin
- Jamie TF Frantz
- Sara Gaddini
- Nicholas A Garza
- Paul Gerard Graham
- Gregory S. Granzeier
- Kali Gray
- Kimberly Greyson-Bost
All providers in Roscoe, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.