Individual provider Active NPI

Toni Lyn Siler, LCSW

  • Clinical Social Worker
  • Pontoon Beach, IL
National Provider Identifier
1659503027
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011669 Issued in IL
Practice address
101 Whitsell Way
Apt 102
Pontoon Beach, IL 62040
Phone
(618) 960-6145
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17124 IL
Clinical Social Worker 1041C0700X 149011669 IL Primary
Clinical Social Worker 1041C0700X 2006006712 MO

Addresses

Primary practice location

101 Whitsell Way
Apt 102
Pontoon Beach, IL 62040

Mailing address

101 Whitsell Way
Apt 102
Pontoon Beach, IL 62040
Phone (618) 960-6145

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
I20200903001213 IL Practitioner - Clinical Social Worker 9436576584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerstone of Illinois IncGroup PAC ID 2961545173, 44 clinicians

Practice addresses (Care Compare)

2615 Edwards St
Alton, IL 62002-3915
Phone (618) 462-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17124ILMDAddiction (Substance Use Disorder) Counselor
2006006712MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Illinois, Inc CurrentSince Jan 1, 2021 Accepting new patients
Centerstone of Illinois, Inc Addiction (Substance Use Disorder) CurrentSince Jan 1, 2021 Accepting new patients

Locations

2615 Edwards St
Alton, IL 62002
Phone (618) 462-2331

902 W Main St
West Frankfort, IL 62896
Phone 6189376483 ext. 7565

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1659503027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WHITSELL WAY",
            "address_2": "APT 102",
            "city": "PONTOON BEACH",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-960-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WHITSELL WAY",
            "address_2": "APT 102",
            "city": "PONTOON BEACH",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-960-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILER",
        "first_name": "TONI",
        "middle_name": "LYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "17124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011669",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006006712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontoon Beach, IL

Sources for this page

Verify at the official NPI Registry.