Family Connections, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149006943 Issued in IL

Legal business name

FAMILY CONNECTIONS, LLC

Practice address

909 N Smiley St
O Fallon, IL 62269-1231

Phone

(618) 741-4123

NPI assigned

Mar 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Wendy Sue Becker Phillips, LCSW

Title

Managing Member

Phone

(618) 741-4123

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235865600000",
    "number": "1255571402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622690122",
            "telephone_number": "618-741-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N SMILEY ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691231",
            "telephone_number": "618-741-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-01",
        "last_updated": "2009-03-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "SUE   BECKER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "618-741-4123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006943",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002882",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "WP32261106P",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1621340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Evans
• Carol Jane Evaul, M.A., L.P.C.
• Rick K Fagan, LCPC
• Kristen Noel Fairbank
• Madison Leigh Fallis, DO
• Family Eye Care of Ofallon PC
• Family Medical Clinic PLLC
• Bachir Farah, M.D.
• Brittany Farris
• Ferrell Chiropractic, LLC

• Clinical Social Worker in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; 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.