Individual provider Active NPI

Torrie Benson-Pryor

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1649609348
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016200 Issued in IL
Practice address
610 N Route 31
Suite E
Crystal Lake, IL 60012-3715
Phone
(815) 444-8469
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 149.016200 IL Primary

Addresses

Primary practice location

610 N Route 31
Suite E
Crystal Lake, IL 60012-3715

Mailing address

610 N Route 31
Suite E
Crystal Lake, IL 60012-3715
Phone (815) 444-8469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115000873 IL Practitioner - Clinical Social Worker 6406084680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 E Calhoun St
Woodstock, IL 60098-4210
Phone (815) 322-6310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016200ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TLB Counseling LTD Clinical CurrentSince Nov 23, 2015 Accepting new patients

Locations

202 E Calhoun St
Woodstock, IL 60098
Phone (815) 322-6310

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1649609348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ROUTE 31",
            "address_2": "SUITE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123715",
            "telephone_number": "815-444-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ROUTE 31",
            "address_2": "SUITE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123715",
            "telephone_number": "815-444-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON-PRYOR",
        "first_name": "TORRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.