Shoreline Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHORELINE THERAPY PLLC

Practice address

3 Carraway CT
Bloomington, IL 61704-2313

Phone

(217) 439-4255

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Megan Murphy, LCSW, CFRCNPI 1962955872

Title

Founder/Manager

Phone

(708) 601-0330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Murphy, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1962955872
  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1457052508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N PROSPECT AVE # 1125",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221235",
            "telephone_number": "217-439-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARRAWAY CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042313",
            "telephone_number": "217-439-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "FOUNDER/MANAGER",
        "authorized_official_telephone_number": "708-601-0330",
        "authorized_official_credential": "LCSW, CFRC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista J. Sheppard, DPT
• Sarah Lizet Shields, LSW
• Shift Psychotherapy, LLC
• Susan Shofner
• Linnea A Shogren
• Mary Short, RN
• Kimberly Shrode
• Megan S Shull
• Samweli P Siame
• Cecilia Siberon-Sone, ARNP

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.