Active NPI
Nikki R Suits, LCSW
- Clinical Social Worker
- Springfield, IL
National Provider Identifier
1376116566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149021072
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722002641 | IL | Order and Referring Only - Clinical Social Worker | 3375059801 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.