Connections Counseling and Resource Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149000745 Issued in IL

Legal business name

CONNECTIONS COUNSELING AND RESOURCE CENTER

Practice address

712 N School St
Normal, IL 61761-1621

Phone

(309) 451-4503

Fax

(309) 451-4503

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carolyn Wilbur Treadway, LCSWNPI 1972633501

Title

Owner

Phone

(309) 451-4503

Specialties & licenses 1

Addresses

Other names 1

• Connections Counseling and Resource Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Wilbur Treadway, LCSW

  • Clinical Social Worker
  • Normal, IL
  • NPI 1972633501
  NPD (past) Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1215067889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N SCHOOL ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611621",
            "telephone_number": "309-451-4503",
            "fax_number": "309-451-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N SCHOOL ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611621",
            "telephone_number": "309-451-4503",
            "fax_number": "309-451-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING AND RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "TREADWAY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "WILBUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-451-4503",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connections Counseling and Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Angela Coats, M.S.,CCC-SLP
• Desha Cobb, FNP
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• Jamyria Coleman
• Community Cancer Center LLC
• Lindsay Connor
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• Emily Conti, RDN
• Patricia Cook, CST
• William E Cooley, M.D.

• Clinical Social Worker in Normal, IL
• Providers in Normal, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.