Active NPI
John Richard Herington, MSW
- Clinical Social Worker
- Decatur, IL
National Provider Identifier
1245429489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-1721
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149-1721 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Herington, PC | Clinical | Past | Accepting new patients |
| Choudary V. Kavuri MD, SC | Past | Accepting new patients | |
| Rohidas T Patil MD SC | Past | 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.
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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.