Individual provider Active NPI

Nikki R Suits, LCSW

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1376116566
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021072 Issued in IL
Practice address
5850 6TH Street Frontage Rd E
Springfield, IL 62703-5162
Phone
(217) 529-5046
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 149021072 IL Primary

Addresses

Primary practice location

5850 6TH Street Frontage Rd E
Springfield, IL 62703-5162

Mailing address

635 Kerfoot St
East Peoria, IL 61611-3440
Phone (309) 339-8248

Other practice location 1

5850 6th Street Frontage Rd E
Springfield, IL 62703-5162
Phone (217) 529-5046

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nikki.R.Suits@osfhealthcare.org Direct St Francis Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722002641 IL Order and Referring Only - Clinical Social Worker 3375059801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nikki.r.suits@osfhealthcare.org

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1376116566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 KERFOOT ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113440",
            "telephone_number": "309-339-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 6TH STREET FRONTAGE RD E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035162",
            "telephone_number": "217-529-5046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 6th Street Frontage Rd E",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627035162",
            "country_code": "US",
            "telephone_number": "217-529-5046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUITS",
        "first_name": "NIKKI",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nikki.R.Suits@osfhealthcare.org",
            "affiliation": "Y",
            "affiliationName": "St Francis Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "2400 St Francis Dr",
            "city": "Breckenridge",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565201025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.