Individual provider Active NPI

Marguerita Ann Pearce, MSW,LCSW

  • Clinical Social Worker
  • Eldorado, IL
National Provider Identifier
1225388739
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015055 Issued in IL
Practice address
1408 Grant St
Eldorado, IL 62930-1621
Phone
(618) 273-3361
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 149.015055 IL Primary

Addresses

Primary practice location

1408 Grant St
Eldorado, IL 62930-1621

Mailing address

1408 Grant St
Eldorado, IL 62930-1621
Phone (618) 273-3361

Other practice location 1

1306 Maple St
Eldorado, IL 62930-1662
Phone (618) 297-9665

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
I20171121001586 IL Practitioner - Clinical Social Worker 3476810755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1306 Maple St
Eldorado, IL 62930-1662
Phone (618) 297-9665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015055ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Hospital Community Foundation Clinical CurrentSince Oct 6, 2023 Accepting new patients
Ferrell Hospital Community Foundation CurrentSince Oct 6, 2023 Accepting new patients
Ferrell Hospital Community Foundation Current Accepting new patients

Locations

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

250 Small St
Harrisburg, IL 62946
Phone (618) 252-4000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1225388739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 GRANT ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301621",
            "telephone_number": "618-273-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 GRANT ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301621",
            "telephone_number": "618-273-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 Maple St",
            "address_purpose": "LOCATION",
            "city": "Eldorado",
            "state": "IL",
            "postal_code": "629301662",
            "country_code": "US",
            "telephone_number": "618-297-9665",
            "fax_number": "618-297-9638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "MARGUERITA",
        "middle_name": "ANN",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldorado, IL

Sources for this page

Verify at the official NPI Registry.