Individual provider Active NPI

Janel Morey-Sassano, LCSW

  • Clinical Social Worker
  • O'Fallon, IL
National Provider Identifier
1316240559
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023503 Issued in IL
Practice address
752 Seagate Dr
O Fallon, IL 62269-6949
Phone
(618) 213-2442
Fax
(618) 769-2161
NPI assigned
Dec 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.023503 IL Primary
Mental Health Counselor 101YM0800X 221773439 NJ

Addresses

Primary practice location

752 Seagate Dr
O Fallon, IL 62269-6949

Mailing address

1624 Carlyle Ave # 391
Belleville, IL 62221-4558
Phone (618) 213-2442

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
221773439NJMDMental Health Counselor
149.023503ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1316240559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 CARLYLE AVE # 391",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622214558",
            "telephone_number": "618-213-2442",
            "fax_number": "618-769-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 SEAGATE DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696949",
            "telephone_number": "618-213-2442",
            "fax_number": "618-769-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREY-SASSANO",
        "first_name": "JANEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023503",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "221773439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.