Individual provider Active NPI

John Richard Herington, MSW

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1245429489
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-1721 Issued in IL
Practice address
2490 N Water St
Suite 1
Decatur, IL 62526-4251
Phone
(217) 233-1327
Fax
(217) 233-1328
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 149-1721 IL Primary

Addresses

Primary practice location

2490 N Water St
Suite 1
Decatur, IL 62526-4251

Mailing address

PO Box 30
Warrensburg, IL 62573-0030
Phone (217) 233-1327

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-1721ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John Herington, PC Clinical PastSince Apr 28, 2004 Accepting new patients
Choudary V. Kavuri MD, SC PastSince Nov 5, 1998 Accepting new patients
Rohidas T Patil MD SC PastSince Aug 6, 2012 Accepting new patients

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1245429489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "WARRENSBURG",
            "state": "IL",
            "postal_code": "625730030",
            "telephone_number": "217-233-1327",
            "fax_number": "217-233-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 N WATER ST",
            "address_2": "SUITE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264251",
            "telephone_number": "217-233-1327",
            "fax_number": "217-233-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERINGTON",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-1721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.