Individual provider Active NPI

Tessa Valeu, LSW

  • Clinical Social Worker
  • Mahomet, IL
National Provider Identifier
1225725120
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150110704 Issued in IL
Practice address
1204 E Oak St Ste 2-2
Mahomet, IL 61853-2795
Phone
(217) 530-5608
Fax
(309) 981-8714
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 150110704 IL Primary

Addresses

Primary practice location

1204 E Oak St Ste 2-2
Mahomet, IL 61853-2795

Mailing address

1204 E Oak St Ste 2-2
Mahomet, IL 61853-2795
Phone (217) 530-5608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150110704ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grit and Grace Therapy PLLC Clinical CurrentSince Apr 23, 2023 Accepting new patients
McGill Counseling, LLC Past Accepting new patients

Locations

1204 E Oak St
Ste 2-2
Mahomet, IL 61853
Phone (217) 530-5608

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1225725120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E OAK ST STE 2-2",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532795",
            "telephone_number": "217-530-5608",
            "fax_number": "309-981-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E OAK ST STE 2-2",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532795",
            "telephone_number": "217-530-5608",
            "fax_number": "309-981-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALEU",
        "first_name": "TESSA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150110704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahomet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.