Organization Active NPI

Cynthia G Slocum MSW LCSW PC

  • Clinical Social Worker
  • Sugar Grove, IL
National Provider Identifier
1467624742
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CYNTHIA G SLOCUM MSW LCSW PC
Practice address
76 S Main St
Suite B
Sugar Grove, IL 60554
Phone
(630) 992-5646
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Cynthia G Slocum, LCSWNPI 1811396641
Title
Licensed Clinical Social Worker
Phone
(630) 992-5646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

76 S Main St
Suite B
Sugar Grove, IL 60554

Mailing address

PO Box 1123
76 S Main St Suite B
Sugar Grove, IL 60554
Phone (630) 992-5646

National Provider Directory

National Provider Directory

Locations

76 S Main St
Unit B
Sugar Grove, IL 60554
Phone (630) 466-8657

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1467624742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "address_2": "76 S MAIN ST SUITE B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "60554",
            "telephone_number": "630-992-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S MAIN ST",
            "address_2": "SUITE B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "60554",
            "telephone_number": "630-992-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA G SLOCUM MSW LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-992-5646",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.