Individual provider Active NPI

Felisha Canney, MSW, LSW

  • Social Worker
  • Downers Grove, IL
National Provider Identifier
1316594146
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150104368 Issued in IL
Practice address
4954 Main St
Downers Grove, IL 60515-3611
Phone
(630) 801-0186
NPI assigned
Aug 26, 2019
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
150104368ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cap of Downers Grove, Inc PastSince Sep 6, 2020 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.

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.

Verify at the official NPI Registry.