Active NPI
Diane Louise Farrell, LCSW
- Clinical Social Worker
- La Salle, IL
National Provider Identifier
1457412868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2960 Chartres St
La Salle, IL 61301-1097 - Phone
- (815) 223-0160
- Fax
- (815) 223-1634
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 8, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
2960 Chartres St
La Salle, IL 61301-1097
Mailing address
PO Box 1488
2960 Chartres St.
La Salle, IL 61301-3488
Phone (815) 223-0160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.009308 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Behavioral Health Systems, Inc | Past | Accepting new patients | |
| North Central Behavioral Health Systems Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Morris, IL
- NPI 1982435657
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Salle, IL
- NPI 1124044318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457412868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1488",
"address_2": "2960 CHARTRES ST.",
"city": "LA SALLE",
"state": "IL",
"postal_code": "613013488",
"telephone_number": "815-223-0160",
"fax_number": "815-223-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 CHARTRES ST",
"city": "LA SALLE",
"state": "IL",
"postal_code": "613011097",
"telephone_number": "815-223-0160",
"fax_number": "815-223-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "DIANE",
"middle_name": "LOUISE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.