Active NPI
Daniel Jon Essenpreis
- Social Worker
- Collinsville, IL
National Provider Identifier
1306346648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2014 Vandalia St
Collinsville, IL 62234-4848 - Phone
- (618) 345-9536
- NPI assigned
- Feb 13, 2018
- 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 | Primary |
Addresses
Primary practice location
2014 Vandalia St
Collinsville, IL 62234-4848
Mailing address
14 W Perry St
Maryville, IL 62062-6851
Phone (618) 339-7092
Other practice location 1
973 N 6th St
Mascoutah, IL 62258-1154
Phone (618) 566-4200
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Services Inc. | Past | Accepting new patients | |
| Family Life Consultants, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Collinsville, IL
- NPI 1164532248
-
- Community/Behavioral Health Agency
- Mascoutah, IL
- NPI 1265869465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1306346648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 W PERRY ST",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620626851",
"telephone_number": "618-339-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 VANDALIA ST",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344848",
"telephone_number": "618-345-9536"
}
],
"practiceLocations": [
{
"address_1": "973 N 6th St",
"address_purpose": "LOCATION",
"city": "Mascoutah",
"state": "IL",
"postal_code": "622581154",
"country_code": "US",
"telephone_number": "618-566-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESSENPREIS",
"first_name": "DANIEL",
"middle_name": "JON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-13",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.