Individual provider Active NPI

Jolie Francoeur-Carsten, LCSW

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1629458104
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011258 Issued in IL
Practice address
206 N Randolph St Ste 510
Champaign, IL 61820-8811
Phone
(217) 993-8343
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149011258 IL Primary

Addresses

Primary practice location

206 N Randolph St Ste 510
Champaign, IL 61820-8811

Mailing address

206 N Randolph St Ste 510
Champaign, IL 61820-8811
Phone (217) 993-8343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149011258ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1629458104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 510",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618208811",
            "telephone_number": "217-993-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 510",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618208811",
            "telephone_number": "217-993-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCOEUR-CARSTEN",
        "first_name": "JOLIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.