Individual provider Active NPI

Nancy K Sillin, LCSW

  • Clinical Social Worker
  • Glenview, IL
National Provider Identifier
1841740966
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012214 Issued in IL
Practice address
920 Windsor Rd
Glenview, IL 60025-3131
Phone
(847) 729-5472
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.012214 IL Primary

Addresses

Primary practice location

920 Windsor Rd
Glenview, IL 60025-3131

Mailing address

920 Windsor Rd
Glenview, IL 60025-3131
Phone (847) 729-5472

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012214ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge2Horizon Wellness Resource LLC Clinical CurrentSince Jun 10, 2019 Accepting new patients

Locations

1020 Milwaukee Ave
Ste 235
Deerfield, IL 60015
Phone (847) 436-6967

Interoperability endpoints

  • Direct secure messaging: nancy.sillin.1@28621.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1841740966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINDSOR RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253131",
            "telephone_number": "847-729-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WINDSOR RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253131",
            "telephone_number": "847-729-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLIN",
        "first_name": "NANCY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.