Active NPI
Nancy L Perry, LCSW
- Clinical Social Worker
- Pittsfield, IL
National Provider Identifier
1841595253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.014350
- Practice address
- 320 N. Madison
Pittsfield, IL 62363 - Phone
- (217) 285-9601
- NPI assigned
- Jan 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.014350 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 2010012026 | MO |
Addresses
Primary practice location
320 N. Madison
Pittsfield, IL 62363
Mailing address
320 N. Madison
Pittsfield, IL 62363
Phone (217) 285-9601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110419000629 | IL | Practitioner - Clinical Social Worker | 0143405068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.014350 | IL | MD | Clinical Social Worker |
| 2010012026 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1841595253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N. MADISON",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "62363",
"telephone_number": "217-285-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N. MADISON",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "62363",
"telephone_number": "217-285-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "NANCY",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.014350",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2010012026",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, IL
- Annie M Murdach, LCPC
- Alexis N. Murk, CNP
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- Rhea Loraine O'Brien, OTR/L
- Carrie Ohlendorf, LMT
- Petersen Health Operations, LLC (Eastside Health & Rehabilitation Center)
- Petersen Health Operations, LLC (Eastside Rehabilitation & Health Care Center)
- Pike County Eye Care Center
- Pike County Senior Services
- Pike County Senior Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.