Individual provider Active NPI

Katie M Turley, LCSW

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1356850713
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018858 Issued in IL
Practice address
2353 Grinnell Dr
Springfield, IL 62704-5465
Phone
(217) 899-1564
NPI assigned
Sep 28, 2017
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149018858 IL Primary

Addresses

Primary practice location

2353 Grinnell Dr
Springfield, IL 62704-5465

Mailing address

2353 Grinnell Dr
Springfield, IL 62704-5465
Phone (217) 899-1564

Other practice location 1

3220 Atlanta St
Springfield, IL 62707-8801
Phone (217) 588-7400

Other names 1

  • Katie M Leininger Former name

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

LicenseStateTypeSpecialty
149018858ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Passavant Memorial Area Hospital Association 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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1356850713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 GRINNELL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045465",
            "telephone_number": "217-899-1564",
            "fax_number": "217-757-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 GRINNELL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045465",
            "telephone_number": "217-899-1564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 Atlanta St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627078801",
            "country_code": "US",
            "telephone_number": "217-588-7400",
            "fax_number": "217-588-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURLEY",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LEININGER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.