Individual provider Active NPI

Cynthia K Flamm, LCSW

  • Clinical Social Worker
  • Anna, IL
National Provider Identifier
1891223533
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006971 Issued in IL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605002594 IL Practitioner - Clinical Social Worker 4183700800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

FacilityTypeRoleSince
Rural Health, Inc.Anna, IL, CCN 141814 Federally qualified health center 5% Or Greater Direct Ownership Interest (5%)
W-2 Managing Employee (5%)
Oct 23, 2007
Oct 23, 2007
Dongola Medical ClinicDongola, IL, CCN 141817 Federally qualified health center Corporate Director (5%)
W-2 Managing Employee (5%)
Oct 23, 2007
Oct 23, 2007
Vienna Medical CenterVienna, IL, CCN 141818 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.Goreville, IL, CCN 141167 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.Metropolis, IL, CCN 781861 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.

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.

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

Verify at the official NPI Registry.