Individual provider Active NPI

Christine Anne Washo, M.S., M.S.W.

  • Clinical Social Worker
  • Savoy, IL
National Provider Identifier
1942331277
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-005305 Issued in IL
Practice address
1401 Regency Dr E
Ste a
Savoy, IL 61874-9312
Phone
(217) 239-1547
NPI assigned
Mar 8, 2007
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 149-005305 IL Primary

Addresses

Primary practice location

1401 Regency Dr E
Ste a
Savoy, IL 61874-9312

Mailing address

1401 Regency Dr E
Suite a
Savoy, IL 61874-9312
Phone (217) 239-1547

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
I20220106001920 IL Practitioner - Clinical Social Worker 3173914819 Practice locations: Savoy, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1401 Regency Dr E
Suite a
Savoy, IL 61874-9312
Phone (217) 239-1547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
149-005305ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1942331277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 REGENCY DR E",
            "address_2": "SUITE A",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749312",
            "telephone_number": "217-239-1547",
            "fax_number": "217-239-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 REGENCY DR E",
            "address_2": "STE A",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749312",
            "telephone_number": "217-239-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHO",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "M.S., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-005305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

Verify at the official NPI Registry.