Active NPI
Cynthia K Flamm, LCSW
- Clinical Social Worker
- Anna, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149006971
- Practice address
- 513 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-4471
- Fax
- (618) 833-8878
- NPI assigned
- May 25, 2017
- Last updated
- Jan 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149006971 | IL | Primary |
Addresses
Primary practice location
513 N Main St
Anna, IL 62906-1668
Mailing address
513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471
Other names 1
- Cynthia K Sullivan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health, Inc. | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rural Health, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (5%) W-2 Managing Employee (5%) |
Oct 23, 2007 Oct 23, 2007 |
| Dongola Medical Clinic | Federally qualified health center | Corporate Director (5%) W-2 Managing Employee (5%) |
Oct 23, 2007 Oct 23, 2007 |
| Vienna Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (5%) W-2 Managing Employee (5%) |
Oct 23, 2017 Oct 23, 2007 |
| Rural Health, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (20%) W-2 Managing Employee (5%) |
Aug 6, 2012 Aug 16, 2012 |
| Rural Health, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (5%) W-2 Managing Employee (5%) |
Oct 23, 2007 Oct 23, 2007 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Dongola Medical Clinic
- Federally Qualified Health Center (FQHC)
- Dongola, IL
- NPI 1366506628
Corporate Director, W-2 Managing Employee
-
dba Metropolis Medical Clinic
- Federally Qualified Health Center (FQHC)
- Metropolis, IL
- NPI 1750836490
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
dba Vienna Medical Clinic
- Federally Qualified Health Center (FQHC)
- Vienna, IL
- NPI 1932263332
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
dba Goreville Medical Center
- Federally Qualified Health Center (FQHC)
- Goreville, IL
- NPI 1962763045
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Anna, IL
- NPI 1982666384
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Anna, IL
- NPI 1982666384
-
dba Williamson County Health Center
- Rural Health Clinic/Center
- Herrin, IL
- NPI 1326102716
-
- Health Educator
- Anna, IL
- NPI 1275299042
-
dba Dongola Medical Clinic
- Federally Qualified Health Center (FQHC)
- Dongola, IL
- NPI 1366506628
-
dba Metropolis Medical Clinic
- Federally Qualified Health Center (FQHC)
- Metropolis, IL
- NPI 1750836490
-
dba Vienna Medical Clinic
- Federally Qualified Health Center (FQHC)
- Vienna, IL
- NPI 1932263332
-
- Federally Qualified Health Center (FQHC)
- Goreville, IL
- NPI 1942968664
-
dba Goreville Medical Center
- Federally Qualified Health Center (FQHC)
- Goreville, IL
- NPI 1962763045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1891223533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-4471",
"fax_number": "618-833-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-4471",
"fax_number": "618-833-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAMM",
"first_name": "CYNTHIA",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149006971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "SULLIVAN",
"middle_name": "K",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.