Active NPI
Yongxuan Du
- Social Worker
- Champaign, IL
National Provider Identifier
1245125590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128373
- Practice address
- 1917 S Mattis Ave Apt 307
Champaign, IL 61821-5934 - Phone
- (734) 489-3730
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.117218 | IL | |
| Social Worker | 104100000X | 6851120061 | MI | |
| Social Worker | 104100000X | SWIA.SC.61690299 | WA | |
| Social Worker | 104100000X | 128373 | NY | Primary |
Addresses
Primary practice location
1917 S Mattis Ave Apt 307
Champaign, IL 61821-5934
Mailing address
1917 S Mattis Ave
Champaign, IL 61821-5920
Phone (734) 489-3730
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.117218 | IL | MD | Social Worker |
| 6851120061 | MI | MD | Social Worker |
| 128373 | NY | MD | Social Worker |
| SWIA.SC.61690299 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1245125590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 S MATTIS AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618215920",
"telephone_number": "734-489-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 S MATTIS AVE APT 307",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618215934",
"telephone_number": "734-489-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "YONGXUAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.117218",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851120061",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SWIA.SC.61690299",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "128373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.