Active NPI
Reslient Therapy Services, LLC
- Clinical Social Worker
- Quincy, IL
National Provider Identifier
1861268013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RESLIENT THERAPY SERVICES, LLC
- Practice address
- 418 N 24TH St
Quincy, IL 62301-3254 - Phone
- (217) 231-1058
- NPI assigned
- Nov 29, 2023
- Last updated
- Nov 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sean A Miller, LCSW
- Title
- Behavioral Health Therapist
- Phone
- (217) 316-5060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
418 N 24TH St
Quincy, IL 62301-3254
Mailing address
3120 Lewis Dr
Quincy, IL 62305-6424
Other practice location 1
3120 Lewis Dr
Quincy, IL 62305-6424
Phone (217) 316-5060
National Provider Directory
National Provider DirectoryLocations
418 N 24th St
Quincy, IL 62301
Phone (217) 231-1058
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Quincy, IL
- NPI 1568781177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1861268013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 LEWIS DR",
"city": "QUINCY",
"state": "IL",
"postal_code": "623056424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 N 24TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623013254",
"telephone_number": "217-231-1058"
}
],
"practiceLocations": [
{
"address_1": "3120 Lewis Dr",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623056424",
"country_code": "US",
"telephone_number": "217-316-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RESLIENT THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
"authorized_official_telephone_number": "217-316-5060",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.