Individual provider Active NPI

Cortnie Marie Irby, MSW, LSW, LCSW

  • Clinical Social Worker
  • Pekin, IL
National Provider Identifier
1861117442
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149026488 Issued in IL
Practice address
2205 State St
Pekin, IL 61554-3936
Phone
(888) 428-7890
NPI assigned
Oct 6, 2022
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150107283 IL
Clinical Social Worker 1041C0700X 149026488 IL Primary

Addresses

Primary practice location

2205 State St
Pekin, IL 61554-3936

Mailing address

219 N 5TH St
Pekin, IL 61554-3307
Phone (309) 226-9480

Other practice location 1

219 N 5th St
Pekin, IL 61554-3307
Phone (309) 226-9479

Other names 1

  • Cortnie Marie Riordan Other name

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

State licenses

LicenseStateTypeSpecialty
150107283ILMDSocial Worker
149026488ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Siebert Moazzam P C CurrentSince Oct 9, 2022 Accepting new patients
Mood Haus Therapy, PLLC Clinical CurrentSince Nov 30, 2025 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

219 N 5th St
Pekin, IL 61554
Phone (309) 226-9479

2205 State St
Pekin, IL 61554
Phone (309) 353-1833

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1861117442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N 5TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543307",
            "telephone_number": "309-226-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 STATE ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543936",
            "telephone_number": "888-428-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Pekin",
            "state": "IL",
            "postal_code": "615543307",
            "country_code": "US",
            "telephone_number": "309-226-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRBY",
        "first_name": "CORTNIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150107283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTNIE",
            "last_name": "RIORDAN",
            "middle_name": "MARIE",
            "credential": "MSW, LSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.