Connie Cambron-Adams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008548 Issued in IL

Practice address

2000 W Pioneer Pkwy Ste 3
Peoria, IL 61615-1883

Phone

(309) 210-3055

Fax

(309) 686-1185

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Il Psychiatric Associates, Inc

  • Psychiatry Physician
  • Normal, IL
  • NPI 1265509392
  NPD (past)
• Heartland Behavioral Health SC

  • Counselor
  • Peoria, IL
  • NPI 1225120421
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

• Constance Gwen Romane Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2021.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1447200035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 3",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151883",
            "telephone_number": "309-210-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 3",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151883",
            "telephone_number": "309-210-3055",
            "fax_number": "309-686-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRON-ADAMS",
        "first_name": "CONNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "ROMANE",
            "middle_name": "GWEN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janelle M Calow, LCSW
• Calvary Elderly Home Help Program
• Joseph Calvo, MD
• Benito Camacho, MD
• Cambron Talbott Counseling
• Nathan Cambron, ACNPC-AG
• Camelot Care Centers, Inc
• Camelot Care Centers, LLC
• Camelot Care Centers, LLC
• Anthony B Cameron, D.O.

• All providers in Peoria, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.