Individual provider Active NPI

Melvin Herring, LCSW

  • Clinical Social Worker
  • Joliet, IL
National Provider Identifier
1609121771
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020001 Issued in IL
Practice address
1150 Essington Rd Ste 1
Joliet, IL 60435-8447
Phone
(815) 823-8460
Fax
(815) 823-8461
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 149.020001 IL Primary

Addresses

Primary practice location

1150 Essington Rd Ste 1
Joliet, IL 60435-8447

Mailing address

1150 Essington Rd Ste 1
Joliet, IL 60435-8447
Phone (815) 823-8460

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

State licenses

LicenseStateTypeSpecialty
149.020001ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin Herring, LCSW, LLC Clinical Current Accepting new patients
Alliance Counseling & Coaching of Illinois, PLLC Past Accepting new patients

Locations

1425 Essington Rd
Joliet, IL 60435
Phone (773) 510-5122

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.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1609121771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ESSINGTON RD STE 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358447",
            "telephone_number": "815-823-8460",
            "fax_number": "815-823-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ESSINGTON RD STE 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358447",
            "telephone_number": "815-823-8460",
            "fax_number": "815-823-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "MELVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.