Active NPI
Isaiah Tennell, MSW
- Social Worker
- Cary, IL
National Provider Identifier
1548966807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 445 Park Ave Ste a&C
Cary, IL 60013-2752 - Phone
- (872) 362-3258
- NPI assigned
- Feb 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Primary |
Addresses
Primary practice location
445 Park Ave Ste a&C
Cary, IL 60013-2752
Mailing address
445 Park Ave Ste a&C
Cary, IL 60013-2752
Phone (872) 362-3258
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1548966807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 PARK AVE STE A&C",
"city": "CARY",
"state": "IL",
"postal_code": "600132752",
"telephone_number": "872-362-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 PARK AVE STE A&C",
"city": "CARY",
"state": "IL",
"postal_code": "600132752",
"telephone_number": "872-362-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNELL",
"first_name": "ISAIAH",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-07",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.