Cynthia Degnan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021247 Issued in IL

Practice address

2506 Galen Dr Ste 103
Champaign, IL 61821-7047

Phone

(301) 202-4320

NPI assigned

Sep 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 11, 2022 through Feb 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Steadfast Center LLC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1659855997
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1689223935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 GALEN DR STE 103",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217047",
            "telephone_number": "301-202-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 GALEN DR STE 103",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217047",
            "telephone_number": "301-202-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGNAN",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dean, APRN
• Donna L Decamara, M.D.
• Robin Deckard, P.T.
• Elizabeth Decker
• Ellyn Diane Dee, RN
• Jacob Layne Delvalley
• Renee Marie Demierre, LCSW
• Valarie Demuri
• Dental Professionals of Illinois, P.C. (Creative Smiles Dental Care)
• Dental Professionals of Illinois, P.C. (Hessel Park Family Dentistry)

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.