Active NPI
Anita M Carmona, MSW
- Social Worker
- Champaign, IL
National Provider Identifier
1801098165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1315A Curt Dr
Champaign, IL 61821-1119 - Phone
- (217) 352-5179
- NPI assigned
- May 31, 2007
- Last updated
- Jul 8, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
1315A Curt Dr
Champaign, IL 61821-1119
Mailing address
2014 W William St
Champaign, IL 61821-4223
Phone (815) 739-0194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.010521 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801098165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 W WILLIAM ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618214223",
"telephone_number": "815-739-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315A CURT DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618211119",
"telephone_number": "217-352-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "ANITA",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
- Carle Health Care Incorporated (Carle Physician Group)
- Carle Health Care Incorporated (Carle Physician Group)
- Carle Health Medical Group (Carle Physician Group)
- Carle Healthcare, Inc. (Arrow Medical Services)
- Jennifer Carleton, LPC
- Caleb Carr, RBT
- Juana Carrillo, LSW
- Kori L Carroll, PA
- Carsten Counseling and Consulting LLC
- Cheryl Renee Carter, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.