Active NPI
James A. Warren Jr., MSW
- Social Worker
- Champaign, IL
National Provider Identifier
1831386374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149013842
- Practice address
- 1802 S Mattis Ave
Champaign, IL 61821-5923 - Phone
- (217) 365-2855
- Fax
- (217) 365-2856
- NPI assigned
- Sep 28, 2007
- Last updated
- Jan 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Social Worker | 104100000X | 149013842 | IL | Primary |
Addresses
Primary practice location
1802 S Mattis Ave
Champaign, IL 61821-5923
Mailing address
611 W Park St
Fapc
Urbana, IL 61801
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1831386374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 S MATTIS AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618215923",
"telephone_number": "217-365-2855",
"fax_number": "217-365-2856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "JAMES",
"middle_name": "A.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-28",
"last_updated": "2021-01-29",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149013842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.