Active NPI
Felisha Canney, MSW, LSW
- Social Worker
- Downers Grove, IL
National Provider Identifier
1316594146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150104368
- Practice address
- 4954 Main St
Downers Grove, IL 60515-3611 - Phone
- (630) 801-0186
- NPI assigned
- Aug 26, 2019
- Last updated
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 150104368 | IL | Primary |
Addresses
Primary practice location
4954 Main St
Downers Grove, IL 60515-3611
Mailing address
4954 Main St
Downers Grove, IL 60515-3611
Phone (630) 801-0186
Other practice location 1
120 Gale St
Aurora, IL 60506-5084
Phone (630) 897-1003
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fcanney@breakingfreeinc.org | ||
| Direct Messaging Address | felisha.canney@capqualitycare.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150104368 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cap of Downers Grove, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Methadone Clinic
- Downers Grove, IL
- NPI 1184787038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1316594146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4954 MAIN ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605153611",
"telephone_number": "630-801-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4954 MAIN ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605153611",
"telephone_number": "630-801-0186"
}
],
"practiceLocations": [
{
"address_1": "120 Gale St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605065084",
"country_code": "US",
"telephone_number": "630-897-1003",
"fax_number": "630-897-1042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNEY",
"first_name": "FELISHA",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150104368",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fcanney@breakingfreeinc.org",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "120 Gale St",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605065084",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "felisha.canney@capqualitycare.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4954 Main St",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605153611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.