Joann Orr

Individual provider Active NPI Clinical Social Worker · Manhattan, IL

NPI 1801459334 · NPPES record last updated Aug 11, 2023

Key facts

NPI
1801459334
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149007030 (IL)
Practice address
24818 S Dart Rd
Manhattan, IL 60442-7770
Phone
(815) 546-2840
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149007030ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149007030 IL Yes

Addresses

Primary practice location

24818 S Dart Rd
Manhattan, IL 60442-7770

Mailing address

24818 S Dart Rd
Manhattan, IL 60442-7770
Phone (815) 546-2840

Other providers in Manhattan, IL

All providers in Manhattan, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.