Active NPI
Amy Byrne
- Clinical Social Worker
- McHenry, IL
National Provider Identifier
1922415371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149024478
- Practice address
- 5342 W Elm St
McHenry, IL 60050-4029 - Phone
- (847) 931-2342
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 149024478 | IL | Primary |
Addresses
Primary practice location
5342 W Elm St
McHenry, IL 60050-4029
Mailing address
9501 2ND Ave
Cary, IL 60013-1836
Phone (847) 305-0799
Other practice location 1
4100 Veterans Pkwy
McHenry, IL 60050-8350
Phone (181) 575-9708
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240329000960 | IL | Practitioner - Clinical Social Worker | 5698113421 | Practice locations: Cary, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10 W Main St
Cary, IL 60013-2866
Phone (847) 496-0091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149024478 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1922415371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 2ND AVE",
"city": "CARY",
"state": "IL",
"postal_code": "600131836",
"telephone_number": "847-305-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5342 W ELM ST",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504029",
"telephone_number": "847-931-2342"
}
],
"practiceLocations": [
{
"address_1": "4100 Veterans Pkwy",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600508350",
"country_code": "US",
"telephone_number": "181-575-9708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRNE",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149024478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.