Active NPI
James M Herr, LCSW
- Clinical Social Worker
- Peoria, IL
National Provider Identifier
1851363675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149004623
- Practice address
- 7820 N University Ste 207
Peoria, IL 61613-0001 - Phone
- (309) 231-3588
- Fax
- (309) 693-0111
- NPI assigned
- Feb 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149004623 | IL | Primary |
Addresses
Primary practice location
7820 N University Ste 207
Peoria, IL 61613-0001
Mailing address
321 Pinecrest Dr
Germantown Hills, IL 61548-9127
Phone (309) 231-3588
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": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1851363675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 PINECREST DR",
"city": "GERMANTOWN HILLS",
"state": "IL",
"postal_code": "615489127",
"telephone_number": "309-231-3588",
"fax_number": "309-693-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7820 N UNIVERSITY STE 207",
"city": "PEORIA",
"state": "IL",
"postal_code": "616130001",
"telephone_number": "309-231-3588",
"fax_number": "309-693-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERR",
"first_name": "JAMES",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149004623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.