Organization Active NPI

Cheryliene a Niemo PLLC

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1720899982
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHERYLIENE A NIEMO PLLC
Practice address
91 Gates St Unit B
Crystal Lake, IL 60014-4357
Phone
(224) 422-7431
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Cheryliene Ann Niemo, LCSWNPI 1942416540
Title
Owner, Therapist
Phone
(224) 422-7431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

91 Gates St Unit B
Crystal Lake, IL 60014-4357

Mailing address

5603 Bull Valley Rd
McHenry, IL 60050-7490
Phone (224) 422-7431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260501000047 IL Part B Supplier - Clinic/Group Practice 3577030154 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

91 Gates St
#B
Crystal Lake, IL 60014
Phone (224) 422-7431

5603 Bull Valley Rd
McHenry, IL 60050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1720899982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 BULL VALLEY RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507490",
            "telephone_number": "224-422-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GATES ST UNIT B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144357",
            "telephone_number": "224-422-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYLIENE A NIEMO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "NIEMO",
        "authorized_official_first_name": "CHERYLIENE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "224-422-7431",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.