Active NPI
Amy E Marsili, L.C.S.W.
- Social Worker
- Decatur, IL
National Provider Identifier
1285930578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149014563
- Practice address
- 2905 N Main St
Decatur, IL 62526-4274 - Phone
- (217) 877-9117
- Fax
- (217) 877-3077
- NPI assigned
- Feb 3, 2011
- Last updated
- Feb 3, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 149014563 | IL | Primary |
Addresses
Primary practice location
2905 N Main St
Decatur, IL 62526-4274
Mailing address
2905 N Main St
Decatur, IL 62526-4274
Phone (217) 877-9117
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 |
|---|---|---|---|
| 149014563 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1285930578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 N MAIN ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264274",
"telephone_number": "217-877-9117",
"fax_number": "217-877-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 N MAIN ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264274",
"telephone_number": "217-877-9117",
"fax_number": "217-877-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSILI",
"first_name": "AMY",
"middle_name": "E",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149014563",
"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 Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.