Active NPI
Julie Eftink, LCSW
- Clinical Social Worker
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011668
- Practice address
- 1107 College Ave
Quincy, IL 62301-2600 - Phone
- (217) 223-8400
- NPI assigned
- Mar 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149011668 | IL | Primary |
Addresses
Primary practice location
1107 College Ave
Quincy, IL 62301-2600
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012042383 | Other | MO | LCSW |
| 149011668 | Other | IL | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
927 Broadway St
Quincy, IL 62301-2719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
1005 Broadway St
Quincy, IL 62301
927 Broadway St
Ste 106
Quincy, IL 62301
1107 College Ave
Quincy, IL 62301
Phone (217) 214-5800
101 Medical Dr
Hannibal, MO 63401
100 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 6
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.
-
- Social Worker
- Quincy, IL
- NPI 1073918462
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Nurse Practitioner
- Quincy, IL
- NPI 1417204827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1275926610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 COLLEGE AVE",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012600",
"telephone_number": "217-223-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFTINK",
"first_name": "JULIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149011668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "2012042383",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "149011668",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.