Active NPI
Kurt E Volz, LCSW, CADC
- Social Worker
- Monmouth, IL
National Provider Identifier
1265659007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149004970
- Practice address
- 1000 W Harlem Ave
Monmouth, IL 61462-1007 - Phone
- (309) 734-3141
- NPI assigned
- Apr 20, 2007
- Last updated
- Sep 15, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 149004970 | IL | Primary |
Addresses
Primary practice location
1000 W Harlem Ave
Monmouth, IL 61462-1007
Mailing address
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020812 | Other | IL | HEALTH ALLIANCE |
| 149004970 | Other | IL | LICENSE |
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 |
|---|---|---|---|
| 149004970 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1265659007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W HARLEM AVE",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614621007",
"telephone_number": "309-734-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W HARLEM AVE",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614621007",
"telephone_number": "309-734-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLZ",
"first_name": "KURT",
"middle_name": "E",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149004970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "020812",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "149004970",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monmouth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.