Individual provider Active NPI

John Wesley Darr, LCSW

  • Clinical Social Worker
  • Swansea, IL
National Provider Identifier
1912936386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6 Emerald Ter
Suite 4
Swansea, IL 62226-2312
Phone
(618) 234-5976
Fax
(618) 310-1309
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

6 Emerald Ter
Suite 4
Swansea, IL 62226-2312

Mailing address

233 Papillon Dr
Swansea, IL 62226-1054
Phone (618) 234-5976

Other identifiers 2

IdentifierTypeStateIssuer
7144OtherMOBCBS-MO
8232082OtherILBCBS- IL

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
I20040915000965 IL Practitioner - Clinical Social Worker 5698742997 Reassigns benefits to 1 organization
Practice locations: Swansea, IL; Granite City, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services of Southern Illinois LLCGroup PAC ID 4082747597, 2 clinicians

Practice addresses (Care Compare)

2900 Frank Scott Pkwy W
Suite 99
Belleville, IL 62223-5000
Phone (618) 236-6501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-004559ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services of Southern Illinois, LLC CurrentSince May 11, 2024 Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 990
Belleville, IL 62223
Phone (618) 236-6501

2900 Frank Scott Pkwy W
Belleville, IL 62223
Phone (618) 234-9200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912936386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PAPILLON DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261054",
            "telephone_number": "618-234-5976",
            "fax_number": "618-310-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EMERALD TER",
            "address_2": "SUITE 4",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262312",
            "telephone_number": "618-234-5976",
            "fax_number": "618-310-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARR",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MO",
            "identifier": "7144",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- IL",
            "identifier": "8232082",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.