Active NPI
Lisa Curry, LCSW
- Clinical Social Worker
- Moline, IL
National Provider Identifier
1790778512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149005922
- Practice address
- 4600 3Rd St
Moline, IL 61265-6106 - Phone
- (309) 779-2031
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149005922 | IL | Primary |
Addresses
Primary practice location
4600 3Rd St
Moline, IL 61265-6106
Mailing address
2101 47TH Street
Moline, IL 61265
Phone (563) 343-0334
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL0195 | Other | IL | JOHN DEERE PROVIDER NUMBE |
| 149005922 | Other | IL | BLUE CROSS ILLINOIS NUMBE |
| 1579185 | Medicaid | IL | |
| 0579185 | Medicaid | IL | |
| 99118 | Other | IL | BLUE CROSS WELLMARK NUMBE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149005922 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1790778512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 47TH STREET",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "563-343-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 3RD ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656106",
"telephone_number": "309-779-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURRY",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149005922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER NUMBE",
"identifier": "IL0195",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ILLINOIS NUMBE",
"identifier": "149005922",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1579185",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0579185",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS WELLMARK NUMBE",
"identifier": "99118",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.