Active NPI
Christine Ann McConkey, LSW, LCPC
- Social Worker
- Champaign, IL
National Provider Identifier
1881124709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150007229
- Practice address
- 4017 Aberdeen Dr
Champaign, IL 61822-8542 - Phone
- (217) 840-5938
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180006545 | IL | |
| Social Worker | 104100000X | 150007229 | IL | Primary |
Addresses
Primary practice location
4017 Aberdeen Dr
Champaign, IL 61822-8542
Mailing address
215 Eastern Avenue
P.O. Box 143
De Land, IL 61839
Phone (217) 840-5938
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180006545 | IL | MD | Professional Counselor |
| 150007229 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1881124709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 EASTERN AVENUE",
"address_2": "P.O. BOX 143",
"city": "DE LAND",
"state": "IL",
"postal_code": "61839",
"telephone_number": "217-840-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 ABERDEEN DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618228542",
"telephone_number": "217-840-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONKEY",
"first_name": "CHRISTINE",
"middle_name": "ANN",
"credential": "LSW, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180006545",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150007229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.