Individual provider Active NPI

Tami Namey, LCSW

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1205039799
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011325 Issued in IL
Practice address
2919 Crossing CT
Suite 13
Champaign, IL 61822-5903
Phone
(217) 354-6191
Fax
(217) 805-4382
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 149011325 IL Primary

Addresses

Primary practice location

2919 Crossing CT
Suite 13
Champaign, IL 61822-5903

Mailing address

PO Box 717
Savoy, IL 61874-0717
Phone (217) 487-4522

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
I20070619000363 IL Practitioner - Clinical Social Worker 5193824050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2919 Crossing CT
Suite 13
Champaign, IL 61822-5904
Phone (217) 487-4522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tami Knell LTD. Clinical CurrentSince Nov 1, 2012 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

2919 Crossing Ct
Ste 13
Champaign, IL 61822
Phone (217) 354-6191

Organizations & group practices 2

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1205039799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618740717",
            "telephone_number": "217-487-4522",
            "fax_number": "217-864-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 CROSSING CT",
            "address_2": "SUITE 13",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618225903",
            "telephone_number": "217-354-6191",
            "fax_number": "217-805-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMEY",
        "first_name": "TAMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.