Active NPI
Citied
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1881372308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CITIED
- Practice address
- 5301 E State St Ste 309a
Rockford, IL 61108-2399 - Phone
- (608) 713-3454
- NPI assigned
- Jul 5, 2023
- 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
- Ashton Rae Lockhart
- Title
- Sole Proprietor
- Phone
- (608) 713-3454
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
5301 E State St Ste 309a
Rockford, IL 61108-2399
Mailing address
1907 Jonathan Ave
Rockford, IL 61103-2908
Phone (815) 621-3853
National Provider Directory
National Provider DirectoryLocations
5301 E State St
Ste 309A
Rockford, IL 61108
Phone (608) 713-3454
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rockford, IL
- NPI 1386236990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697673600000",
"number": "1881372308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 JONATHAN AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611032908",
"telephone_number": "815-621-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E STATE ST STE 309A",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082399",
"telephone_number": "608-713-3454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITIED",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2023-10-19",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "LOCKHART",
"authorized_official_first_name": "ASHTON",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "608-713-3454"
},
"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 Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.