Stillwaters Behavioral Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-005574 Issued in IL

Legal business name

STILLWATERS BEHAVIORAL HEALTH, LLC

Practice address

303 W Main St
St Charles, IL 60174-1843

Phone

(630) 587-5631

Fax

(630) 587-5631

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Laurie Lynn Riehm, LCSW

Title

Co-Owner

Phone

(630) 587-5631

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1841438801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741843",
            "telephone_number": "630-587-5631",
            "fax_number": "630-587-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741843",
            "telephone_number": "630-587-5631",
            "fax_number": "630-587-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATERS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "RIEHM",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "630-587-5631",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in St Charles, IL
• Providers in St Charles, 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 Jan 29, 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.