Active NPI
Regan Cunningham
- Social Worker
- Lake in the Hills, IL
National Provider Identifier
1700517372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150105777
- Practice address
- 9241 S Illinois Route 31
Lake in the Hills, IL 62234 - Phone
- (847) 854-4333
- NPI assigned
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150105777 | IL | Primary |
Addresses
Primary practice location
9241 S Illinois Route 31
Lake in the Hills, IL 62234
Mailing address
9241 South Illinois Route 31
Lake in the Hills, IL 62234
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150105777 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regan Marie Therapy | Current | Accepting new patients | |
| Radzom Counseling LLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Champaign, IL
- NPI 1902797392
-
- Clinical Social Worker
- Edwardsville, IL
- NPI 1639462948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1700517372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9241 SOUTH ILLINOIS ROUTE 31",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "62234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9241 S ILLINOIS ROUTE 31",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "62234",
"telephone_number": "847-854-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "REGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150105777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.