McCutcheon, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011569 Issued in IL

Legal business name

MCCUTCHEON, P.C.

Practice address

7115 Virginia Rd Ste 110
Crystal Lake, IL 60014-3110

Phone

(815) 575-6224

Fax

(815) 356-8975

NPI assigned

Jul 20, 2009

Last updated

Jul 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill McCutcheon, LCSWNPI 1952478562

Title

President

Phone

(815) 575-6224

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill McCutcheon, LSCW

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1952478562
  Authorized official Same address or phone
• Dan K Blair, MA

  • Mental Health Counselor
  • Crystal Lake, IL
  • NPI 1891866141
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1730319179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD STE 110",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143110",
            "telephone_number": "815-575-6224",
            "fax_number": "815-356-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD STE 110",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143110",
            "telephone_number": "815-575-6224",
            "fax_number": "815-356-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCUTCHEON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHEON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-575-6224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn McClure, DSW, LCSW
• Richard Everett McCoy, D. C.
• Lucas C McCully, DC
• McCutcheon Counseling, PLLC
• Jill McCutcheon, LSCW
• Dennis James McDowell, D.D.S.
• Bruce Albert McElroy, L.P.T.
• McEneaney & Lesniak Associates (Pure Family Healthcare)
• Edward K McGarrigle, PSYD
• Becky McGarry

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, 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 Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.